The continuous quadratus lumborum block for multimodal analgesia after total hip arthroplasty.

The continuous quadratus lumborum block for multimodal analgesia after total hip arthroplasty. Korean J Anesthesiol. 2019 May 17;: Authors: Bak H, Bang S, Yoo S, Kim S, Lee SY Abstract The quadratus lumborum block (QLB), which is based on an easy fascial plane technique that has been reported to be effective in pain control after abdominal surgery. Here we report a case involving an 83-year-old man (weight: 64 kg) who received continuous transmuscular QLB as part of a multimodal analgesia after hardware removal and total hip arthroplasty. The patient received continuous infusion of 0.2% ropivacaine at 8 mL/h through an indwelling catheter in addition to patient-controlled analgesia (PCA) with intravenous fentanyl and oral celecoxib. The area of sensory blockade ranged from T8 to L3, and he received the first demand dose of fentanyl via the PCA pump at 17 h after surgery. The patient's pain scores did not exceed 4, and no additional analgesics were required until postoperative day 5. Our findings suggest that transmuscular QLB may be a suitable option for multimodal analgesia after total hip arthroplasty. PMID: 31096729 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research