Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report
Abstract Background Quadratus lumborum block has been claimed to provide effective analgesia in abdominal surgeries by covering both somatic as well as visceral pain. However, its utility in morbidly obese patients has not been reported or evaluated. Case presentation In this case report, of laparos...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-09-01
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| Series: | Ain Shams Journal of Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42077-022-00263-w |
| _version_ | 1811264907927093248 |
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| author | Amit Kumar Malviya Debesh Bhoi Virender Kumar Mohan Anju Gupta |
| author_facet | Amit Kumar Malviya Debesh Bhoi Virender Kumar Mohan Anju Gupta |
| author_sort | Amit Kumar Malviya |
| collection | DOAJ |
| description | Abstract Background Quadratus lumborum block has been claimed to provide effective analgesia in abdominal surgeries by covering both somatic as well as visceral pain. However, its utility in morbidly obese patients has not been reported or evaluated. Case presentation In this case report, of laparoscopic hernia repair in a morbidly obese patient (weight 110 kg, height 1.53 m, BMI 46.9 kg/m2), there was excellent perioperative analgesia with no rescue opioid consumption in intraoperative period and average VAS score of 3 in 24 h postoperatively. The first recue analgesic was administered in the form of intravenous (IV) diclofenac 75 mg (diluted in 100 ml normal saline) 12 h after surgery when the patient reported a VAS of 5. Conclusions QL block is an effective, feasible, and safe option for providing analgesia for laparoscopic hernia repair in morbidly obese patients. |
| first_indexed | 2024-04-12T20:13:01Z |
| format | Article |
| id | doaj.art-917cb09f16df4006895b88365524ba3e |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-04-12T20:13:01Z |
| publishDate | 2022-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-917cb09f16df4006895b88365524ba3e2022-12-22T03:18:12ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2022-09-011411410.1186/s42077-022-00263-wQuadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case reportAmit Kumar Malviya0Debesh Bhoi1Virender Kumar MohanAnju Gupta2Department of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical SciencesDepartment of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical SciencesDepartment of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical SciencesAbstract Background Quadratus lumborum block has been claimed to provide effective analgesia in abdominal surgeries by covering both somatic as well as visceral pain. However, its utility in morbidly obese patients has not been reported or evaluated. Case presentation In this case report, of laparoscopic hernia repair in a morbidly obese patient (weight 110 kg, height 1.53 m, BMI 46.9 kg/m2), there was excellent perioperative analgesia with no rescue opioid consumption in intraoperative period and average VAS score of 3 in 24 h postoperatively. The first recue analgesic was administered in the form of intravenous (IV) diclofenac 75 mg (diluted in 100 ml normal saline) 12 h after surgery when the patient reported a VAS of 5. Conclusions QL block is an effective, feasible, and safe option for providing analgesia for laparoscopic hernia repair in morbidly obese patients.https://doi.org/10.1186/s42077-022-00263-wQuadratus lumborumMorbid obeseAnalgesia |
| spellingShingle | Amit Kumar Malviya Debesh Bhoi Virender Kumar Mohan Anju Gupta Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report Ain Shams Journal of Anesthesiology Quadratus lumborum Morbid obese Analgesia |
| title | Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report |
| title_full | Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report |
| title_fullStr | Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report |
| title_full_unstemmed | Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report |
| title_short | Quadratus lumborum (QL1) block in a morbidly obese patient posted for laparoscopic mesh hernia repair: a case report |
| title_sort | quadratus lumborum ql1 block in a morbidly obese patient posted for laparoscopic mesh hernia repair a case report |
| topic | Quadratus lumborum Morbid obese Analgesia |
| url | https://doi.org/10.1186/s42077-022-00263-w |
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