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Acta clinica Croatica, Vol. 61. No. Supplement 2, 2022.

Professional paper

https://doi.org/10.20471/acc.2022.61.s2.19

Interfascial Plane Blocks in Obstetric and Gynecologic Surgery

Nada Pejčić ; Department of Anesthesiology and Reanimatology, Leskovac General Hospital, Leskovac, Serbia
Radomir Mitić ; Department of Anesthesiology and Reanimatology, Leskovac General Hospital, Leskovac, Serbia
Neeti Sadana ; Obstetric Anesthesia, Memorial Regional Hospital, Envision Physician Services, Hollywood, FL, USA; Obstetric Anesthesia, SUNY Downstate Medical Center, Brooklyn, NY, USA
Ivan Veličković ; Obstetric Anesthesia, SUNY Downstate Medical Center, Brooklyn, NY, USA

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Abstract

Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: QLB and ESPB have great potential to improve and facilitate postoperative pain
management in obstetric and gynecologic surgery.

Keywords

Quadratus Lumborum Plane Block; QLB; Erector Spinae Plane Block; ESPB; Cesarean delivery; Hysterectomy

Hrčak ID:

284413

URI

https://hrcak.srce.hr/284413

Publication date:

1.9.2022.

Article data in other languages: croatian

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