[Continuous quadratus lumborum type 3 block provides effective postoperative analgesia for hip surgery: case report]. / O bloqueio contínuo do quadrado lombar tipo 3 fornece analgesia pósoperatória efetiva para cirurgia do quadril: relato de caso.
Braz J Anesthesiol
; 69(2): 208-210, 2019.
Article
in Pt
| MEDLINE
| ID: mdl-30195631
INTRODUCTION: Hip surgery is a major surgery that causes severe postoperative pain. Although pain during rest is usually considerably reduced mobilization is important in terms of thromboembolic complications. The quadratus lumborum block is a regional analgesic technique that blocks T6-L3 nerve branches. This block may provide adequate analgesia and reduce opioid consumption after hip surgery. CASE REPORT: We performed continuous quadratus lumborum type 3 block in two patients who underwent hip arthroplasty. Postoperative 24-h pain scores, local anesthetic consumptions on patient-controlled analgesia and additional analgesic requirement were recorded. In two patients, postoperative pain scores were less than 6 during rest and physiotherapy. Patient was mobilized in the early postoperative period without additional opioid analgesic requirement and without muscle weakness. DISCUSSION: Continuous quadratus lumborum block may be used to relieve postoperative acute pain in hip surgery because it provides one-sided anesthesia without muscle weakness.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain, Postoperative
/
Arthroplasty, Replacement, Hip
/
Anesthetics, Local
/
Nerve Block
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Pt
Journal:
Braz J Anesthesiol
Year:
2019
Document type:
Article
Country of publication:
Brazil