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Published in: Journal of Anesthesia 3/2016

01-06-2016 | Clinical Report

Quadratus lumborum catheters for breast reconstruction requiring transverse rectus abdominis myocutaneous flaps

Authors: Nicole Z. Spence, Patrycja Olszynski, Anne Lehan, Jean-Lois Horn, Christopher A. J. Webb

Published in: Journal of Anesthesia | Issue 3/2016

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Abstract

Patients diagnosed with breast cancer may opt to undergo surgical reconstructive flaps at the time of or after mastectomies. These surgeries leave patients with significant postoperative pain and sometimes involve large surgical beds including graft sites from the abdomen to reconstruct the breast. Consequently, multimodal methods of pain management have become highly favored. Quadratus lumborum catheters offer an opioid-sparing technique that can be performed easily and safely. We present a case of a patient who underwent a breast flap reconstruction and had bilateral quadratus lumborum catheters placed for perioperative pain control.
Literature
2.
go back to reference Correll DJ, Viscusi ER, Grunwald Z, Moore JH Jr. Epidural analgesia compared with intravenous morphine patient-controlled analgesia: postoperative outcome measures after mastectomy with immediate TRAM flap breast reconstruction. Reg Anesth Pain Med. 2001;26(5):444–9.PubMed Correll DJ, Viscusi ER, Grunwald Z, Moore JH Jr. Epidural analgesia compared with intravenous morphine patient-controlled analgesia: postoperative outcome measures after mastectomy with immediate TRAM flap breast reconstruction. Reg Anesth Pain Med. 2001;26(5):444–9.PubMed
3.
go back to reference Albornoz CR, Bach PB, Pusic AL, McCarthy CM, Mehrara BJ, Disa JJ, Cordeiro PG, Matros E. The influence of sociodemographic factors and hospital characteristics on the method of breast reconstruction, including microsurgery: a U.S. population-based study. Plast Reconstr Surg. 2012;129(5):1071–9.CrossRefPubMed Albornoz CR, Bach PB, Pusic AL, McCarthy CM, Mehrara BJ, Disa JJ, Cordeiro PG, Matros E. The influence of sociodemographic factors and hospital characteristics on the method of breast reconstruction, including microsurgery: a U.S. population-based study. Plast Reconstr Surg. 2012;129(5):1071–9.CrossRefPubMed
4.
go back to reference Larson DL, Yousif NJ, Sinha RK, Latoni J, Korkos TG. A comparison of pedicled and free TRAM flaps for breast reconstruction in a single institution. Plast Reconstr Surg. 1999;104(3):674–80.CrossRefPubMed Larson DL, Yousif NJ, Sinha RK, Latoni J, Korkos TG. A comparison of pedicled and free TRAM flaps for breast reconstruction in a single institution. Plast Reconstr Surg. 1999;104(3):674–80.CrossRefPubMed
5.
go back to reference Kroll SS, Sharma S, Koutz C, Langstein HN, Evans GRD, Robb GL, Chang DW, Reece GP. Postoperative morphine requirements of free TRAM and DIEP flaps. Plast Reconstr Surg. 2001;107(2):338–41.CrossRefPubMed Kroll SS, Sharma S, Koutz C, Langstein HN, Evans GRD, Robb GL, Chang DW, Reece GP. Postoperative morphine requirements of free TRAM and DIEP flaps. Plast Reconstr Surg. 2001;107(2):338–41.CrossRefPubMed
6.
go back to reference Zhong T, Ojha M, Bagher S, Butler K, Srinivas C, McCluskey SA, Clarke H, O’Neill AC, Novak CB, Hofer SO. Transversus abdominis plane block reduces morphine consumption in the early postoperative period following microsurgical abdominal tissue breast reconstruction: a double-blind, placebo-controlled, randomized trial. Plast Reconstr Surg. 2014;134(5):870–8.CrossRefPubMed Zhong T, Ojha M, Bagher S, Butler K, Srinivas C, McCluskey SA, Clarke H, O’Neill AC, Novak CB, Hofer SO. Transversus abdominis plane block reduces morphine consumption in the early postoperative period following microsurgical abdominal tissue breast reconstruction: a double-blind, placebo-controlled, randomized trial. Plast Reconstr Surg. 2014;134(5):870–8.CrossRefPubMed
7.
go back to reference Blanco R, Ansari T, Girgis E. Quadratus lumborum block for postoperative pain after caesarean section: a randomised controlled trial. Eur J Anaesthesiol. 2015;32(11):812–8.CrossRefPubMed Blanco R, Ansari T, Girgis E. Quadratus lumborum block for postoperative pain after caesarean section: a randomised controlled trial. Eur J Anaesthesiol. 2015;32(11):812–8.CrossRefPubMed
8.
go back to reference Holley DT, Toursarkissian B, Vasconez HC, Wells MD, Kenady DE, Sloan DA, McGrath PC. The ramifications of immediate reconstruction in the management of breast cancer. Am Surg. 1995;61(1):60–5.PubMed Holley DT, Toursarkissian B, Vasconez HC, Wells MD, Kenady DE, Sloan DA, McGrath PC. The ramifications of immediate reconstruction in the management of breast cancer. Am Surg. 1995;61(1):60–5.PubMed
9.
10.
go back to reference Kehlet H. Effect of pain relief on the surgical stress response. Reg Anesth. 1996;21(6 Suppl):35–7.PubMed Kehlet H. Effect of pain relief on the surgical stress response. Reg Anesth. 1996;21(6 Suppl):35–7.PubMed
12.
go back to reference Blanco R. TAP block under ultrasound guidance: the description of a ‘nonpopstechnique’. Reg Anesth Pain Med. 2007;32(suppl 1):130. Blanco R. TAP block under ultrasound guidance: the description of a ‘nonpopstechnique’. Reg Anesth Pain Med. 2007;32(suppl 1):130.
14.
go back to reference Shaaban M, Esa WA, Maheshwari K, Elsharkawy H, Soliman LM. Bilateral continuous quadratus lumborum block for acute postoperative abdominal pain as a rescue after opioid-induced respiratory depression. A A Case Rep. 2015;5(7):107–11.CrossRefPubMed Shaaban M, Esa WA, Maheshwari K, Elsharkawy H, Soliman LM. Bilateral continuous quadratus lumborum block for acute postoperative abdominal pain as a rescue after opioid-induced respiratory depression. A A Case Rep. 2015;5(7):107–11.CrossRefPubMed
16.
go back to reference Kadam VR. Ultrasound guided quadratus lumborum block or posterior transversus abdominis plane block catheter infusion as a postoperative analgesic technique for abdominal surgery. J Anaesthesiol Clin Pharmacol. 2015;31(1):130–1.CrossRefPubMedPubMedCentral Kadam VR. Ultrasound guided quadratus lumborum block or posterior transversus abdominis plane block catheter infusion as a postoperative analgesic technique for abdominal surgery. J Anaesthesiol Clin Pharmacol. 2015;31(1):130–1.CrossRefPubMedPubMedCentral
17.
go back to reference Visoiu M, Yakovleva N. Continuous postoperative analgesia via quadratus lumborum block—an alternative to transversus abdominis plane block. Paediatr Anaesth. 2013;23(10):959–61.CrossRefPubMed Visoiu M, Yakovleva N. Continuous postoperative analgesia via quadratus lumborum block—an alternative to transversus abdominis plane block. Paediatr Anaesth. 2013;23(10):959–61.CrossRefPubMed
18.
go back to reference Chakraborty A, Goswami J, Patro V. Ultrasound-guided continuous quadratus lumborum block for postoperative analgesia in a pediatric patient. A A Case Rep. 2015;4(3):34–6.CrossRefPubMed Chakraborty A, Goswami J, Patro V. Ultrasound-guided continuous quadratus lumborum block for postoperative analgesia in a pediatric patient. A A Case Rep. 2015;4(3):34–6.CrossRefPubMed
Metadata
Title
Quadratus lumborum catheters for breast reconstruction requiring transverse rectus abdominis myocutaneous flaps
Authors
Nicole Z. Spence
Patrycja Olszynski
Anne Lehan
Jean-Lois Horn
Christopher A. J. Webb
Publication date
01-06-2016
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 3/2016
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-016-2160-y

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