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Quadratus Lumborum (QL) block has been successfully used for different abdominal procedures in the past. Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized mainly by autonomic instability, motor impairment, and cognitive dysfunction. We report a case of a patient with MSA with a history of multiple episodes of unplanned admissions following outpatient minor surgical procedures under general anesthesia scheduled to undergo open inguinal hernia repair. In our patient, QL block was successfully used for surgical anesthesia and it resulted in hemodynamic stability and an opioid-free perioperative course.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046158 | PMC |
http://dx.doi.org/10.1155/2018/7161860 | DOI Listing |
Br J Anaesth
September 2025
Department of Anesthesiology and Pain Medicine, University of Toronto; Women's College Research Institute, Toronto, ON, Canada. Electronic address:
Pain Manag
September 2025
Minimally Invasive Gynecologic Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Background: Gynecologic enhanced recovery after surgery (ERAS) pathways have been developed to reduce postoperative narcotic use through multimodal pain management. While incisional injection of local anesthetic is standard practice, regional nerve blockades using liposomal agents are emerging as a promising adjunct technique for post-laparoscopy pain. Current data are conflicting regarding the benefits of regional nerve blocks on postoperative pain after laparoscopic hysterectomy.
View Article and Find Full Text PDFAnn Transplant
September 2025
Department of Anesthesiology and Reanimation, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
BACKGROUND Among the limited analgesic options, plane blocks are of great importance in providing effective postoperative analgesia to donors and recipients in renal transplantation surgery. We aimed to demonstrate that anterior type quadratus lumborum plane block provides better analgesia than intravenous paracetamol in open and closed nephrectomy patients. MATERIAL AND METHODS We conducted a prospective cohort study.
View Article and Find Full Text PDFKorean J Pain
September 2025
Department of Nursing, Chungnam National University College of Nursing, Daejeon, Korea.
Background: Ultrasound-guided abdominal wall blocks are increasingly used to enhance postoperative analgesia in laparoscopic nephrectomy. Among these, the transversus abdominis plane (TAP) block and the quadratus lumborum (QL) block have emerged as promising techniques. However, no comprehensive review has yet compared the analgesic efficacy of these two regional approaches.
View Article and Find Full Text PDFWorld J Clin Cases
September 2025
Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Chengdu 610041, Sichuan Province, China.
Background: Myofascial pain syndrome (MPS) is a common musculoskeletal disease associated with myofascial trigger point (MTrP). Muscle injury is one of the common causes of MPS. Currently, there is no effective treatment for MPS.
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