Quadratus Lumborum block as primary anesthetic technique for colostomy procedure: a case report
An elderly patient was admitted to the hospital due to an enterovesical fistula and a terminal colostomy was proposed. The patient had a high anesthetic risk and thus a quadratus lumborum block was chosen as the sole anesthetic technique. This block has been described to provide both somatic and visceral analgesia to the abdomen. In fact, it yielded good anesthetic conditions to perform the procedure and allowed the patient to be hemodynamically stable and comfortable throughout the case. The postoperative period was uneventful.
1 X. Liu, T. Song, X. Chen, et al. Quadratus lumborum block versus transversus abdominis plane block for postoperative analgesia in patients undergoing abdominal surgeries: a systematic review and meta-analysis of randomized controlled trials BMC Anesthesiol., 20 (2020), p. 53
2 K.J. Chin, L. Malhas, A. Perlas The erector spinae plane block provides visceral abdominal analgesia in bariatric surgery a report of 3 cases Reg Anesth Pain Med., 42 (2017), pp. 372-376
3 J. Zhang, Y. He, S. Wang, et al. The erector spinae plane block causes only cutaneous sensory loss on ipsilateral posterior thorax : a prospective observational volunteer study BMC Anesthesiol., 20 (2020), p. 88
4 H. Elsharkawy, K. El-Boghdadly, M. Barrington Quadratus Lumborum Block- Anatomical Concepts, Mechanisms, and Techniques Anesthesiology., 130 (2019), pp. 322-335
5 L. Carline, G.A. McLeod, C. Lamb A cadaver study comparing spread of dye and nerve involvement after three different quadratus lumborum blocks Br J Anaesth., 117 (2016), pp. 387-394