• Nobuhiro Tanaka, Takuzo Kitazawa, Saki Mitani, Takanori Suzuka, Yuma Kadoya, and Masahiko Kawaguchi.
• Department of Anesthesiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan. nobuhirotanaka@naramed-u.ac.jp.
• JA Clin Rep. 2020 Aug 19; 6 (1): 65.

BackgroundThere has been increasing attention regarding quadratus lumborum block (QLB) and erector spinae plane block (ESPB) as effective truncal blocks. There have been reports of combined QLB and ESPB usage in hip surgery resulting in a symbiotic increase in effectiveness. However, there have been no reports regarding robot-assisted partial nephrectomy (RAPN), which requires multiple port holes ranging from near the xiphoid process to below the umbilicus. We hypothesized that the combined use of QLB and ESPB was an option for anesthesia and analgesia during RAPN.Case PresentationAnterior QLB and ESPB were applied to two patients undergoing scheduled RAPN. With intravenous patient-controlled analgesia, the post-surgery numerical rating scale scores were < 3/10 at rest and < 5/10 upon movement, throughout the perioperative time.ConclusionsThe combination of QLB and ESPB could be an option for the postoperative analgesia in RAPN.

4 keywords...

hide…