Ultrasound guided quadro-iliac plane block: Another novel fascial plane block

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dc.authorid0000-0002-3245-6614
dc.authorid0000-0002-5539-2342
dc.authorid0000-0001-8476-3707
dc.authorid0000-0001-6745-4814
dc.authorid0000-0001-8057-5899
dc.contributor.authorTulgar, Serkan
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorAhıskalıoğlu, Ali
dc.contributor.authorBilal, Bora
dc.contributor.authorŞakul, Bayram Ufuk
dc.contributor.authorGirit, Melike
dc.contributor.authorAkın, Tuğçe
dc.contributor.authorNarayanan, Madan
dc.contributor.authorAlıcı, Hacı Ahmet
dc.date.accessioned2024-06-13T06:10:50Z
dc.date.available2024-06-13T06:10:50Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Anabilim Dalı
dc.description.abstractStudy objective: We report a novel block technique aimed to provide lumbosacral, abdominal, and hip analgesia: The quadro-iliac plane (QIP) block. Design: A cadaveric examination that evaluates the spread of QIP block. Setting: Cadaver laboratory. Patients: One unembalmed cadaver. Interventions: Bilateral ultrasound-guided QIP blocks on cadavers with 40 mL of methylene blue %0.5 each side. Measurements: Dye spread in cadaver. Main results: There was staining in the deep interfascial plane of the erector spinae muscles. Extensive staining of the interfascial plane corresponding to the posterior aspect of the quadratus lumborum muscle (QLM) was observed. There was extensive staining on the anterior surface of the QLM. There was spread of dye traversing along the transversalis fascia and significantly infiltrating retroperitoneal fat tissue. Bilateral staining of the ilioinguinal and iliohypogastric nerves was observed. On the right, there was minimal staining over the subcostal nerve. There was dye present bilaterally within the deep regions of the transverse processes. The lumbar plexus was stained on both sides. Conclusion: The local anesthetic applied from a place where the QLM reaches its largest volume and the fascial plane creates a closed gap in the caudal area may exhibit a more rounded and extensive spread. Quadro-iliac plane block, involves the administration of local anesthetic to the posterior aspect of the QLM at its origin from the iliac crest. According to our cadaver study, this technique may be a promising option for alleviating acute and chronic pain in the lumbosacral, lower abdominal, and hip regions.
dc.identifier.citationTulgar, S., Çiftçi, B., Ahıskalıoğlu, A., Bilal, B., Şakul, B. U., Girit, M. ... Alıcı, H. A. (2024). Ultrasound guided quadro-iliac plane block: Another novel fascial plane block. Pain Medicine, 25(6), 370-373. http://dx.doi.org/10.1093/pm/pnae018
dc.identifier.doi10.1093/pm/pnae018
dc.identifier.endpage373
dc.identifier.issn1526-2375
dc.identifier.issn1526-4637
dc.identifier.issue6
dc.identifier.pmid38459608
dc.identifier.scopus2-s2.0-85195228874
dc.identifier.scopusqualityQ1
dc.identifier.startpage370
dc.identifier.urihttp://dx.doi.org/10.1093/pm/pnae018
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12637
dc.identifier.volume25
dc.identifier.wos001202418100001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÇiftçi, Bahadır
dc.institutionauthorŞakul, Bayram Ufuk
dc.institutionauthorGirit, Melike
dc.institutionauthorAkın, Tuğçe
dc.institutionauthorAlıcı, Hacı Ahmet
dc.language.isoen
dc.relation.ispartofPain Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAbdominal Analgesia
dc.subjectCadaveric Study
dc.subjectHip Analgesia
dc.subjectInterfascial Plane Block
dc.subjectLumbosacral Analgesia
dc.subjectQuadro-Iliac Plane Block
dc.titleUltrasound guided quadro-iliac plane block: Another novel fascial plane block
dc.typeArticle

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