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OBSTETRIC ANESTHESIOLOGY

Bilateral Ultrasound-Guided Continuous Ilioinguinal-Iliohypogastric Block for Pain Relief After Cesarean Delivery

From the Department of Anesthesiology, Keck School of Medicine, University of Southern California, Los Angeles, California.

Address correspondence to Gligor Gucev, MD, MSEd, Department of Anesthesiology, Keck School of Medicine, University of Southern California, 1200 N. State St., GNH 14901, Los Angeles, CA 90033. Address e-mail to gucev{at}usc.edu.

Abstract

We present three cases in which continuous ilioinguinal-iliohypogastric nerve block with 0.2% ropivacaine, together with oral ibuprofen, was used to provide analgesia after cesarean delivery. The catheters were placed under ultrasound guidance in the plane between the internal oblique and transversus abdominis muscles on both sides of the abdomen. Numeric pain rating was used for the assessment of postoperative pain. Low pain scores, minimal use of supplemental opioid, and the absence of nausea and vomiting suggests that continuous ilioinguinal-iliohypogastric nerve blockade deserves further study as a possible component of multimodal analgesia after cesarean delivery.