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A radiological inquest to determine the destiny of ultrasound guided trans-muscular quadratus lumborum plane catheters.
| Content Provider | Scilit |
|---|---|
| Author | Diwan, Sandeep Nair, Abhijit Kulkarni, Medha Kulkarni, Narendra |
| Copyright Year | 2019 |
| Abstract | After a quadratus lumborum (QL) block, the course of QL plane catheter is unpredictable. This case series discusses the course and fate of trans-muscular QL catheters by following and discussing the contrast spread through the fascial planes. Intrao-peratively, the catheters were tracked by the surgeons and were checked for integrity of anterior thoracolumbar fascia (ATLF) by injecting sterile 0.9% saline. The ATLF was intact upon injection and there was cephalad and medial saline spread with slight bulging of ATLF. On day 3 after written informed consent from all patients, computed tomography (CT) contrast studies were performed. Post-operative contrast spread was variable and was visualised in transversus abdominis plane, QL plane, lower thoracic paravertebral space, inter-vertebral foramina and anterior epidural space. CT contrast images demonstrated a variable spread. In conclusion, injection in ATLF of QL can spread along the path of least resistance and is unpredictable. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691643/pdf |
| Ending Page | 670 |
| Page Count | 4 |
| Starting Page | 667 |
| File Format | XHTML |
| ISSN | 00195049 |
| e-ISSN | 09762817 |
| DOI | 10.4103/ija.IJA_333_19 |
| Journal | Indian Journal of Anaesthesia |
| Issue Number | 8 |
| Volume Number | 63 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Anesthesiology Analgesia Contrast Nerve Block Postoperative Quadratus Lumborum Regional Anaesthesia Surgery Ultrasound Indian Journal of Anaesthesia, Volume 63, Issue 8 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
