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CASE REPORT
Year : 2020  |  Volume : 34  |  Issue : 3  |  Page : 209-211

Ultrasound-guided continuous transmuscular quadratus lumborum block as a sole anesthetic technique for inguinal hernia repair in a high-risk patient


Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Prof. Virender Kumar Mohan
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi - 110 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_17_20

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Quadratus lumborum (QL) block has been described as a postoperative analgesic technique by Blanco following superficial abdominal surgeries but has not been used as a sole anesthetic technique. This ipsilateral block with an indwelling catheter inserted for continuous QL block provided the pain-free course. It decreased opioid use both during intra and postoperative periods with a sensory block of T8–L1, thus avoiding complications related to general and neuraxial anesthesia in patients with low cardiac reserve. We report a high-risk case undergoing inguinal mesh hernioplasty under continuous QL block.


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