Quadratus lumborum blocks for abdominal transplant surgeries at UPMC Children's Hospital of Pittsburgh—A five year experience

• DOI: 10.1111/petr.14296
• Publication Date: 2022-04-23T06:03:52Z
• Authors: Maria A. Hernandez; Scott Licata; Daniela Damian; Armando Ganoza; Mihaela Visoiu
• Keywords: Adult; Pain, Postoperative; Nerve Block; Hospitals; 3. Good health; Analgesics, Opioid; 03 medical and health sciences; 0302 clinical medicine; Humans; Anesthetics, Local; Child; Retrospective Studies

Abstract Background Adequate perioperative analgesia for pediatric abdominal transplant surgery is essential patient recovery. However, the risks of commonly used medications such as hepatotoxicity, nephrotoxicity, bleeding concerns, and poor graft results with opioids limit pain management in this population. Thoracic epidural, continuous erector spinae plane, type‐1 quadratus lumborum blocks (QLBs) have been described utilized adult population setting. The safety benefits regional anesthetic techniques pediatrics widely documented different types procedures except transplantation, where data remains scarce. Our primary goal was to determine if QLBs provided adequate when part a multimodal approach. Secondary objectives were examine complications effects on intensive care unit (ICU) hospital stay. Methods We performed retrospective, observational study patients who underwent surgeries at University Pittsburgh Medical Center Children's Hospital from January 2015 July 2021 received single injection QLB control. Data collected included: demographics, nerve block characteristics, opioid consumption, use non‐opioid analgesia, daily scores, ICU Results Forty‐two met inclusion criteria our study. suggest that decrease facilitate early extubation, prevent reintubation ICU, reduce Conclusions feasible can be approach postoperative control solid organ transplantation.