• Reg Anesth Pain Med · Oct 2019

    Review

    A review of peripheral nerve blocks for cesarean delivery analgesia.

    • Kelsey D Mitchell, C Tyler Smith, Courtney Mechling, Charles B Wessel, Steven Orebaugh, and Grace Lim.
    • Anesthesiology & Perioperative Medicine, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
    • Reg Anesth Pain Med. 2019 Oct 25.

    AbstractPeripheral 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.© American Society of Regional Anesthesia & Pain Medicine 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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