A review of peripheral nerve blocks for cesarean delivery analgesia

Peripheral nerve blocks have a unique role in postcesarean delivery multimodal analgesia regimens. In this review article, options for peripheral nerve blocks for cesarean delivery analgesia will be reviewed, specifically paravertebral, transversus abdominis plane, quadratus lumborum, iliohypogastri...

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Published inRegional anesthesia and pain medicine Vol. 45; no. 1; pp. 52 - 62
Main Authors Mitchell, Kelsey D, Smith, C Tyler, Mechling, Courtney, Wessel, Charles B, Orebaugh, Steven, Lim, Grace
Format Journal Article
LanguageEnglish
Published England Copyright by American Society of Regional Anesthesia and Pain Medicine 01.01.2020
BMJ Publishing Group LTD
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Summary:Peripheral nerve blocks have a unique role in postcesarean delivery multimodal analgesia regimens. In this review article, options for peripheral nerve blocks for cesarean delivery analgesia will be reviewed, specifically paravertebral, transversus abdominis plane, quadratus lumborum, iliohypogastric and ilioinguinal, erector spinae, and continuous wound infiltration blocks. Anatomy, existing literature evidence, and specific areas in need of future research will be assessed. Considerations for local anesthetic toxicity, and for informed consent for these modalities in the context of emergency cesarean deliveries, will be presented.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
Contributors KDM, CTS: reviewed literature, wrote the manuscript and approved the final manuscript. CM: assisted in organizing the literature review and approved the final manuscript. CBW: designed and executed the literature search strategy. SO: wrote and approved the final manuscript. GL: wrote and approved the final manuscript.
ISSN:1098-7339
1532-8651
DOI:10.1136/rapm-2019-100752