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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Published inKorean journal of anesthesiology Vol. 73; no. 2; pp. 158 - 162
Main Authors Bak, Hahyeon, Bang, Seunguk, Yoo, Subin, Kim, Seoyeong, Lee, So Yeon
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Society of Anesthesiologists 01.04.2020
대한마취통증의학회
Subjects
analgesia
arthroplasty
Case Report
catheters
nerve block
pain
ropivacaine
ultrasonography
마취과학
Analgesia
Nerve block
Pain
Ultrasonography
Arthroplasty
Ropivacaine
Catheters
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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