Abstract
The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.
Highlights
The advent of peripheral nerve blocks has revolutionised the realm of peri-operative analgesia
Retrolaminar block has emerged as an alternative to PV Band was first reported in 2006.1 The needle puncture site is taken 1-1.5 cm lateral to the target spinous process and proceeded until it contacts the lamina, followed by injecting 20-30 ml of local anaesthetics on the lamina.[2]
There was some rise in airway pressures and EtCO2 intraoperatively, but we accounted it to the physiological changes associated with pneumoperitoneum and managed it using pressure control ventilation (PCV)
Summary
The advent of peripheral nerve blocks has revolutionised the realm of peri-operative analgesia. After attaching all standard monitors, under aseptic precautions, patient was administered retrolaminar block at T12 space by inserting the needle 1 cm lateral to T12 spinous process and giving 20 ml of 0.25% bupivacaine on lamina. Post extubation, patient could not maintain oxygen saturation (SpO2) above 90% on air (96-97% on oxygen) though the haemodynamics were stable.
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