Anesthesiologist, Department of Anesthesiology and Reanimatology,Leskovac General Hospital, Leskovac, Serbia.
Department of Anesthesiology and Reanimatology, Leskovac General Hospital, Leskovac, Serbia.
Acta Clin Croat. 2022 Sep;61(Suppl 2):145-150. doi: 10.20471/acc.2022.61.s2.19.
Interfascial plane blocks (IPB) are truncal blocks with local anesthetic injected into space between two muscle layers. IPBs are easy to learn, simple to perform, provide satisfactory analgesia up to 24 hours, having a minimal risk of complications.
We present a retrospective analysis of the patients who had IPB as a part of postoperative pain management plan following either CD or hysterectomy in Leskovac General Hospital, Serbia during the period April 2017 - February 2022.
We had 131 patients who had IPB perioperatively. Bilateral QLB type 1 was performed in 53 patients after CD and in 68 patients after hysterectomy. Bilateral ESPB T10-11 was done following one CD case and in 9 patients before hysterectomy. Patients had both acetaminophen and nonsteroidal anti-inflammatory drug for postoperative pain control. Decreased usage of fentanyl and sevoflurane was noticed in the cases where IPB was performed preoperatively. Almost all patients had well-controlled pain, and were very satisfied with pain score of 0-4/10 at numeric rating scale during 24 hours after surgery, with no opioid use. There were no complications regarding block performance.
QLB and ESPB have great potential to improve and facilitate postoperative pain management in obstetric and gynecologic surgery.
筋膜平面阻滞（IPB）是将局部麻醉剂注入两块肌肉层之间的躯干阻滞。IPB 易于学习，操作简单，可提供长达 24 小时的满意镇痛效果，并发症风险极小。
我们对塞尔维亚莱斯科瓦茨综合医院 2017 年 4 月至 2022 年 2 月期间接受 IPB 作为术后疼痛管理计划一部分的接受 CD 或子宫切除术的患者进行回顾性分析。
我们有 131 名患者在围手术期接受了 IPB。53 名 CD 后和 68 名子宫切除术后行双侧 QLB 型 1 阻滞。1 例 CD 后行双侧 ESPB T10-11，9 例子宫切除术前行双侧 ESPB T10-11。患者均使用对乙酰氨基酚和非甾体抗炎药进行术后疼痛控制。在术前进行 IPB 的情况下，芬太尼和七氟醚的使用量减少。几乎所有患者在术后 24 小时内疼痛均得到良好控制，数字评分量表上的疼痛评分为 0-4/10，非常满意，无阿片类药物使用。阻滞操作无并发症。
QLB 和 ESPB 具有改善和促进妇产科手术术后疼痛管理的巨大潜力。
