Abstract:
BACKGROUND:There are various approaches to perform an ultrasound guided Quadratus Lumborum Block (QLB). The lateral, posterior, anterior or trans muscular and subcostal paramedian are the various approaches described for performing a QLB. Each of these blocks are aimed to achieve a maximum spread with high volume and low concentration of local anesthetics. CASE REPORT:In this novel approach a curvilinear ultrasound probe was used with the patient lying in supine position. The probe was placed longitudinally in the mid axillary line to visualize Quadratus Lumborum Muscle (QLM) in the coronal plane. The needle was then introduced from cranial to caudal direction and catheters were inserted in the Anterior Thoracolumbar Fascia (ATLF) up to a distance of 4-5 cm in 24 patients for an anterior approach to acetabulum fractures. The needle tip and the Local Anesthetic (LA) spread was visible in all patients. All patients except 4 had excellent perioperative pain relief considering stable hemodynamics and VAS 2-3/10 for the first 48 hours. All patients received 1g intravenous paracetamol each 8hours. VAS in postoperative period was 2-3/10, in 20/24 patients. In the postoperative period, 4 patients complained of persistent pain, requiring intravenous fentanyl boluses and multimodal analgesia. Mean VAS score was 2.87 from 0-12 hours, 3.14 from 12-24 hours, and 3.35 from 24-48 hours. There were no block-related complications in any patient. CONCLUSION:The supine midaxillary coronal approach to anterior QLB is an effective and feasible approach to QLB which can be performed in supine position.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Diwan S,Blanco R,Kulkarni M,Patil A,Nair Adoi
10.1016/j.bjan.2020.04.007subject
Has Abstractpub_date
2020-01-01 00:00:00pages
443-447issue
4eissn
0034-7094issn
1806-907Xpii
S0034-7094(20)30354-8journal_volume
70pub_type
abstract:BACKGROUND AND OBJECTIVES:Postanesthetic Delirium (PAD) is a common acute mental disorder most commonly developed in elderly patients. Its pathophysiology is poorly understood and PAD is often confused with others psychiatric disorders. This study aimed at reviewing important features of this anesthetic complication in...
journal_title:Revista brasileira de anestesiologia
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doi:10.1590/s0034-70942002000200013
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pub_type: 杂志文章,随机对照试验
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abstract:BACKGROUND AND OBJECTIVES:There are many studies conducted on reducing the frequency and severity of fentayl-induced cough during anesthesia induction. We propose that pheniramine maleate, an antihistaminic, may suppress this cough. We aim to observe the effect of pheniramine on fentanyl-induced cough during anesthesia...
journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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abstract:BACKGROUND AND OBJECTIVES:Human chorionic gonadotropin (HCG) and thyrotrophic hormone (TSH) have analogies in their structures, as well as in their receptors. The high levels of HCG seen in gestational trophoblastic diseases may induce secondary hyperthyroidism. The objective of this report was to present a case in whi...
journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2017.09.007
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Neuromuscular blockers (NMB) have been used for more than half of a century in anesthesia and have always been a challenge for anesthesiologists. Until recently, the reversal of nondepolarizing neuromuscular blockers had only one option: the use of anticholinesterase agents. However, in some s...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
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更新日期:2006-10-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.08.007
更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942006000100007
更新日期:2006-02-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2008-11-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942002000600005
更新日期:2002-11-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942007000200005
更新日期:2007-04-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2003-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:High doses of opioids decrease the hemodynamic response to tracheal intubation. However, the slow recovery profile of traditional opioids may limit the use of high doses. Remifentanil has a fast time of onset and is short acting, which differentiates it from the other drugs in this class. The ...
journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000300007
更新日期:2008-05-01 00:00:00