Key result
Bilateral quadratus lumborum block achieves zero opioid use after abdominal hysterectomy.
Why the study?
Total abdominal hysterectomy is associated with severe post-operative pain requiring effective analgesia with minimal side effects, and the role of ultrasound-guided Quadratus Lumborum Block in this setting is of interest.
Does ultrasound-guided Quadratus Lumborum Block provide sufficient post-operative analgesia in a patient undergoing total abdominal hysterectomy?
Case Report (n=1)
No
Does ultrasound-guided Quadratus Lumborum Block provide sufficient post-operative analgesia in a patient undergoing total abdominal hysterectomy?
Ultrasound-guided Quadratus Lumborum Block provided effective post-operative analgesia and avoided opioid use in a high-risk patient undergoing total abdominal hysterectomy.
Hypothesis-generating for quadratus lumborum block in hysterectomy; requires randomized trials before any practice change.
Total Abdominal Hysterectomy is a major invasive abdominal surgery which is accompanied with severe post-operative pain. Multimodal analgesia techniques can provide efficient analgesic coverage with minimal side effects, Quadratus Lumborum Block is an abdominal wall block which gives good analgesic effect for abdominal surgery with lower pain score and less requirement for opioids. A 67-year-old female was scheduled to undergo total abdominal hysterectomy surgery. The patient presented with comorbidities, morbid obesity, bronchial asthma, obstructive sleep apnea and hypothyroidism. The procedure was performed under general anesthesia and by the end of surgery, a Quadratus Lumborum Block was carried out using ultrasound-guided technique. Quadratus Lumborum Block bilaterally was successfully performed which was able to provide a sufficient analgesic effect post total abdominal hysterectomy, thus, provided the patient's with not only an opportunity for early ambulation but also avoided the adverse effects of opioids (especially the respiratory complications).
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A 2021 study conducted a case report in Post-operative pain after Total Abdominal Hysterectomy (n=1). Ultrasound-Guided Quadratus Lumborum Block was evaluated on Post-operative pain (VAS score) and opioid consumption. Ultrasound-guided bilateral Quadratus Lumborum Block provided effective post-operative analgesia for total abdominal hysterectomy, resulting in zero opioid consumption and VAS pain scores of 0 at rest.
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