Post–operative pain management in paediatric patients:Quadratus Lumborum Block via Intramuscular Approach

Volume : VII, Issue : I, January - 2018

Dr. Rajmala Jaiswal, Dr Nitu Yadav, Dr Geeta Ahlawat, Dr Manish Yadav

Quadratus lumborum block is a relatively new regional anesthetic technique first described by

R. Blanco in 2007¹. We are presenting a case report in which bilateral Intramuscular Ultrasound

Guided Quadratus Lumborum Block (QLB) was given for postoperative analgesia in a 12 year

old child, who underwent appendicectomy plus inguinal herniotomy for left inguinal hernia

under general anesthesia. After surgery patient complained of pain and to avoid hemodynamic

side effects of drugs, QLB was considered. Patient got relief after 10 minutes with VAS score of

3/10. Rescue analgesia (paracetamol) for next 12 hours was greatly reduced. So QLB provides an

effective postoperative analgesia in pediatric patients.