id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
anesthj-186	Whiteley, Kristina Alexis	Comparison of Quadratus Lumborum Block and Transversus Abdominis Plane Block for Postoperative Pain Management	2023	2	.pdf	application/pdf	1352	50	40	Compared to the gold standard epidural, TAP blocks result in significantly less opioid consumption, postop pain, and incidences of hypotension, with no difference in opioid consumption at 72 hrs2 • When compared to QL blocks, TAP blocks are shown to have increase patient pain scores, opioid consumption, and number of patients requiring analgesia postoperatively3 Quadratus Lumborum Block vs. Transversus Abdominis Plane Block Kristina “Alexis” Whiteley, BSN, RN, Texas Christian University Case Summary Pre-Anesthetic Evaluation • 58-year-old disabled female, NKDA, ASA 2, BMI 31.2 • History of pancreatic head mass & obstructive jaundice status post biliary stent • Medical history: anxiety & GERD • Surgical history: EGD & ERCP • Home medications: pantoprazole 40 mg PO q morning • Preoperative medications: acetaminophen 650 mg PO, celecoxib 200 mg PO, gabapentin 300 mg PO, transdermal scopolamine & midazolam 2 mg IV Intraoperative Course • General anesthesia induction: RSI with IV ketamine 50 mg, lidocaine 100 mg, & propofol 150 mg; muscle relaxation via succinylcholine 120 mg • Antibiotics & adjuncts: cefepime 2 g, dexamethasone 8 mg, magnesium sulfate 2 g bolus, lidocaine drip 2000 mg/500 mL at 2 mg/min • Maintenance: isoflurane, rocuronium titrated to twitches, 1 PRBC & 2 PLT received • Opioids & pain adjuncts: fentanyl 200 mcg, hydromorphone 2 mg, ketamine 10 mg/hr for a total of 50 mg Postoperative Course • Postoperative QL block:	cache/anesthj-186.pdf	txt/anesthj-186.txt