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KMID : 0356920200730020158
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Korean Journal of Anesthesiology
2020 Volume.73 No. 2 p.158 ~ p.162
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Continuous quadratus lumborum block as part of multimodal analgesia after total hip arthroplasty: a case report
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Bak Ha-Hyeon
Bang Seung-Uk
Yoo Su-Bin
Kim Seo-Yeong
Lee So-Yeon
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Abstract
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Background: 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.
Case: 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.
Conclusions: Transmuscular QLB may be a suitable option for multimodal analgesia after total hip arthroplasty.
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KEYWORD
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Analgesia, Arthroplasty, Catheters, Nerve block, Pain, Ropivacaine, Ultrasonography
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