Quadratus lumborum block in pediatric patients - a case series
2021
Introduction. The quadratus lumborum block (QLB) was the first interfascial
plane block introduced in Leskovac General Hospital thanks to the
international teaching Kybele Inc. program in April 2017. Outline of cases.
During the period from April 2017 to December 2019, 22 pediatric patients
underwent various surgical procedures and had the QLB type 1 block as a part
of a multimodal perioperative pain management plan. Unilateral QLB was
provided for unilateral inguinal hernia repair, orchidopexy, testicular
torsion repair, and open appendectomy. Bilateral QLB was provided for
laparoscopic appendectomy and cholecystectomy. Decreased use of fentanyl and
sevoflurane was noticed in the cases when QLB was performed preoperatively.
All patients had well-controlled pain. Conclusion. QLB is a simple and safe
technique. Clear sonographic landmarks allow it to be easily performed. QLB
has great potential to improve and facilitate postoperative pain management.
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