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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
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INTERFASCIAL PLANE BLOCKS IN OBSTETRIC AND GYNECOLOGIC SURGERY.

Nada Pejčić1, Radomir Mitić2, Neeti Sadana3,4

  • 1Anesthesiologist, Department of Anesthesiology and Reanimatology,Leskovac General Hospital, Leskovac, Serbia.

Acta Clinica Croatica
|February 24, 2023
PubMed
Summary
This summary is machine-generated.

Interfascial plane blocks (IPB) provide effective postoperative pain relief for gynecologic procedures like Cesarean delivery (CD) and hysterectomy. Patients experienced well-controlled pain and high satisfaction with minimal opioid use and no complications.

Keywords:
Cesarean deliveryESPBQLBerector spinae plane blockhysterectomyquadratus lumborum plane block

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Area of Science:

  • Anesthesiology
  • Regional Anesthesia
  • Pain Management

Background:

  • Interfascial plane blocks (IPB) are regional anesthesia techniques involving local anesthetic injection between muscle planes.
  • IPBs offer a simple, safe method for achieving up to 24 hours of analgesia with minimal complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of IPBs in postoperative pain management.
  • To assess IPB use in patients undergoing Cesarean delivery (CD) and hysterectomy.

Main Methods:

  • Retrospective analysis of 131 patients receiving IPB perioperatively.
  • Utilized Quadratus Lumborum Block (QLB) and Erector Spinae Plane Block (ESPB).
  • Patients also received acetaminophen and NSAIDs; opioid and sevoflurane usage were monitored.

Main Results:

  • High patient satisfaction with pain scores of 0-4/10 at 24 hours post-surgery.
  • Significantly decreased intraoperative fentanyl and sevoflurane usage with preoperative IPB.
  • No reported complications related to the IPB procedures.

Conclusions:

  • QLB and ESPB demonstrate significant potential for enhancing postoperative pain control.
  • IPBs are effective in managing pain following obstetric and gynecologic surgeries.
  • These blocks can facilitate improved patient recovery and satisfaction.