Continuous quadratus lumborum block as part of multimodal analgesia after total hip arthroplasty: a case report

Commonly used epidural or systemic analgesics for pain control after hip surgery carry risk for potential adverse effects. In contrast, the quadratus lumborum block (QLB) utilizes a simple and easy fascial plane technique and provides a wide area of sensory blockade. Thus, the QLB may be beneficial...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2020, 73(2), , pp.158-162
Main Authors: Bak, Hahyeon, Bang, Seunguk, Yoo, Subin, Kim, Seoyeong, Lee, So Yeon
Format: Article
Language:English
Subjects:
analgesia
arthroplasty
Case Report
catheters
nerve block
pain
ropivacaine
ultrasonography
마취과학
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Summary:Commonly used epidural or systemic analgesics for pain control after hip surgery carry risk for potential adverse effects. In contrast, the quadratus lumborum block (QLB) utilizes a simple and easy fascial plane technique and provides a wide area of sensory blockade. Thus, the QLB may be beneficial as analgesia after total hip arthroplasty. Here, we report the case of an 83-year-old man who received a continuous transmuscular QLB as part of a multimodal analgesia after hardware removal and total hip arthroplasty. The patient received a continuous infusion of 0.2% ropivacaine at 8 ml/h through an indwelling catheter in addition to patient-controlled analgesia with intravenous fentanyl and oral celecoxib. The patient's pain scores did not exceed 4, and no additional analgesics were required until postoperative day 5. Transmuscular QLB may be a suitable option for multimodal analgesia after total hip arthroplasty.
ISSN:2005-6419
2005-7563
DOI:10.4097/kja.d.19.00016