Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Quadratus Lumborum block as primary anesthetic technique for colostomy procedure: a case report

Bloqueio do quadrado lombar como técnica anestésica primária para procedimento de colostomia: relato de caso

Inês Vieira, Carla Pereira, Andreia Silva, Carlos Almeida

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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.


Regional anesthesia,  Colostomy,  Patient safety


Um paciente idoso foi internado devido a uma fístula enterovesical e foi proposta uma colostomia terminal. O paciente apresentava alto risco anestésico e por isso optou-se pelo bloqueio do quadrado lombar como única técnica anestésica. Este bloqueio foi descrito para fornecer analgesia somática e visceral ao abdômen. De fato, proporcionou boas condições anestésicas para a realização do procedimento e permitiu que o paciente permanecesse hemodinamicamente estável e confortável durante todo o caso. O pós-operatório foi sem intercorrências.


Anestesia regional; Colostomia; Segurança do paciente


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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

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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

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