Interfascial Plane Blocks in Obstetric and Gynecologic Surgery
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 retrospecti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/411627 |
| _version_ | 1827282023578861568 |
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| author | Nada Pejčić Radomir Mitić Neeti Sadana Ivan Veličković |
| author_facet | Nada Pejčić Radomir Mitić Neeti Sadana Ivan Veličković |
| author_sort | Nada Pejčić |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:11:05Z |
| format | Article |
| id | doaj.art-fcb378637d95482384c335b3dd38b09b |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:11:05Z |
| publishDate | 2022-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-fcb378637d95482384c335b3dd38b09b2024-04-15T17:59:19ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.Supplement 214515010.20471/acc.2022.61.s2.19Interfascial Plane Blocks in Obstetric and Gynecologic SurgeryNada Pejčić0Radomir Mitić1Neeti Sadana2Ivan Veličković3Department of Anesthesiology and Reanimatology, Leskovac General Hospital, Leskovac, SerbiaDepartment of Anesthesiology and Reanimatology, Leskovac General Hospital, Leskovac, SerbiaObstetric Anesthesia, Memorial Regional Hospital, Envision Physician Services, Hollywood, FL, USA; Obstetric Anesthesia, SUNY Downstate Medical Center, Brooklyn, NY, USAObstetric Anesthesia, SUNY Downstate Medical Center, Brooklyn, NY, USAIntroduction: 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.https://hrcak.srce.hr/file/411627Quadratus Lumborum Plane BlockQLBErector Spinae Plane BlockESPBCesarean deliveryHysterectomy |
| spellingShingle | Nada Pejčić Radomir Mitić Neeti Sadana Ivan Veličković Interfascial Plane Blocks in Obstetric and Gynecologic Surgery Acta Clinica Croatica Quadratus Lumborum Plane Block QLB Erector Spinae Plane Block ESPB Cesarean delivery Hysterectomy |
| title | Interfascial Plane Blocks in Obstetric and Gynecologic Surgery |
| title_full | Interfascial Plane Blocks in Obstetric and Gynecologic Surgery |
| title_fullStr | Interfascial Plane Blocks in Obstetric and Gynecologic Surgery |
| title_full_unstemmed | Interfascial Plane Blocks in Obstetric and Gynecologic Surgery |
| title_short | Interfascial Plane Blocks in Obstetric and Gynecologic Surgery |
| title_sort | interfascial plane blocks in obstetric and gynecologic surgery |
| topic | Quadratus Lumborum Plane Block QLB Erector Spinae Plane Block ESPB Cesarean delivery Hysterectomy |
| url | https://hrcak.srce.hr/file/411627 |
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