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Case Reports
Continuous Quadratus Lumborum Block for Postoperative Pain in Total Hip Arthroplasty: A Case Report.
- Margaret M Hockett, Sheena Hembrador, and Alex Lee.
- From the *Veterans Affairs, Puget Sound, Seattle, Washington; and †Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, Washington.
- A A Case Rep. 2016 Sep 15; 7 (6): 129-31.
AbstractA 69-year-old man with a history of chronic pain and opioid use presented for total hip arthroplasty. In the interests of ensuring early mobilization and pain control, we chose a continuous quadratus lumborum block technique, a novel ultrasound-guided block that has not yet been described for total hip arthroplasty, hypothesizing that it would be motor-sparing. While the perineural catheter was infused, the patient required no IV opioids. He was able to ambulate on the first postoperative day, reporting pain scores between 0 and 3/10. The quadratus lumborum block is a promising technique that, in our patient, was motor-sparing and provided excellent pain control.
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