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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
Summary
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.
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.
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