The Role of Truncal Blocks in Obstetric Anesthesia
Purpose of Review This review provides a framework for managing post-cesarean delivery pain in the age of enhanced recovery after surgery (ERAS). In doing so, it highlights the role that truncal blocks play in obstetric anesthesia. The value of transversus abdominus plane block (TAP) and quadratus lumborum block (QLB) to optimize post-cesarean delivery pain is discussed. Recent Findings TAP block and QLB have been compared with each other and with controls, with and without neuraxial morphine. In the absence of neuraxial morphine, TAP block and QLB are superior to controls, but when intrathecal morphine is used, they do not provide additional benefit. Summary There is indeed a role for truncal blocks in obstetric anesthesia. Both TAP block and QLB provide analgesia after cesarean delivery. They are not, however, universally beneficial; they are best incorporated when neuraxial morphine is not used, or to rescue pain not well-controlled with standard multimodal analgesia..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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| Enthalten in: |
Current anesthesiology reports - 11(2021), 1 vom: 18. Feb., Seite 12-17 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Aaronson, Jaime [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Enhanced recovery after cesarean (ERAC) |
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| doi: |
10.1007/s40140-021-00436-7 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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SPR043729142 |
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| 520 | |a Purpose of Review This review provides a framework for managing post-cesarean delivery pain in the age of enhanced recovery after surgery (ERAS). In doing so, it highlights the role that truncal blocks play in obstetric anesthesia. The value of transversus abdominus plane block (TAP) and quadratus lumborum block (QLB) to optimize post-cesarean delivery pain is discussed. Recent Findings TAP block and QLB have been compared with each other and with controls, with and without neuraxial morphine. In the absence of neuraxial morphine, TAP block and QLB are superior to controls, but when intrathecal morphine is used, they do not provide additional benefit. Summary There is indeed a role for truncal blocks in obstetric anesthesia. Both TAP block and QLB provide analgesia after cesarean delivery. They are not, however, universally beneficial; they are best incorporated when neuraxial morphine is not used, or to rescue pain not well-controlled with standard multimodal analgesia. | ||
| 650 | 4 | |a Transversus abdominus plane (TAP) block |7 (dpeaa)DE-He213 | |
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| 650 | 4 | |a Enhanced recovery after surgery (ERAS) |7 (dpeaa)DE-He213 | |
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