| Popis: |
When neuraxial blocks are contraindicated in parturients desiring labor analgesia or requiring postoperative pain control after a cesarean delivery, alternate regional techniques can be considered. This chapter discusses the techniques available to the clinician to provide relief during the first and second stages of labor. These include paracervical block, pudendal block, and perineal infiltration. The chapter also discusses regional techniques to relieve postoperative pain after cesarean delivery. These include transversus abdominis plane (TAP) block, quadratus lumborum block (QLB), wound infiltration catheters, ilioinguinal-iliohypogastric (IIIH) block, and subcutaneous infiltration of local anesthetics. For each procedure, the technique is described, along with a discussion of the clinical indications and complications. Residents, advanced practitioners, and physicians practicing in the field of anesthesiology, family medicine, and obstetrics will benefit from this chapter. |
