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Papers of the Week

2020 Apr 09

Acta Anaesthesiol Scand

Ultrasound-guided transmuscular quadratus lumborum catheters for elective caesarean section: A protocol for a single-center, double-blind randomised trial.


Management of moderate to severe postoperative pain after elective caesarean section (ECS) is internationally primarily based on either epidural catheters or opioids. However, both techniques are associated with some undesirable adverse events. Bilateral transmuscular quadratus lumborum (TQL) block has proven to reduce opioid consumption significantly in the first 24 postoperative hours following ECS and prolong time to first opioid (TFO). We present a randomised controlled trial aiming to investigate whether continuous analgesia via bilateral TQL catheters can prolong TFO after ECS.