Your browser doesn't support javascript.
loading
Quadratus lumborum block in chronic pain after abdominal hernia repair: case report.
Carvalho, Rita; Segura, Elena; Loureiro, Maria do Céu; Assunção, José Pedro.
Afiliação
  • Carvalho R; Centro Hospitalar Tondela-Viseu, Serviço de Anestesiologia, Viseu, Portugal. Electronic address: ritasfcarvalho@hotmail.com.
  • Segura E; Centro Hospitalar Tondela-Viseu, Serviço de Anestesiologia, Viseu, Portugal.
  • Loureiro MD; Centro Hospitalar Tondela-Viseu, Serviço de Anestesiologia, Viseu, Portugal.
  • Assunção JP; Centro Hospitalar Tondela-Viseu, Serviço de Anestesiologia, Viseu, Portugal.
Braz J Anesthesiol ; 67(1): 107-109, 2017.
Article em En | MEDLINE | ID: mdl-28017162
BACKGROUND AND OBJECTIVES: The quadratus lumborum blockade was described by R. Blanco in its two approaches (I and II). The local anesthetic deposition in this location can provide blockade to T6-L1 dermatomes. We performed this fascia blockade guided by ultrasound for treating a chronic neuropathic pain in the abdominal wall. CASE REPORT: Male patient, 61 years old, 83kg, with a history of thrombocytopenia due to alcoholic cirrhosis, among others; had chronic pain in the abdominal wall after multiple abdominal hernia repairs in the last year and a half, with poor response to treatment with neuromodulators and opioids. On clinical examination, he revealed a neuropathic pain, with prevalence of allodynia to touch, covering the entire anterior abdominal wall, from T7 to T12 dermatomes. We opted for a quadratus lumborum block type II, guided by ultrasound, with administration of 0.2% ropivacaine (25mL) and depot (vial) methylprednisolone (20mg) on each side. The procedure gave immediate relief of symptoms and, after six months, the patient still had a significant reduction in allodynia without compromising the quality of life. CONCLUSIONS: We consider that performing the quadratus lumborum block type II was an important analgesic option in the treatment of a patient with chronic pain after abdominal hernia repair, emphasizing the effects of local anesthetic spread to the thoracic paravertebral space. The technique has proven to be safe and well tolerated. The publication of more clinical cases reporting the effectiveness of this blockade for chronic pain is desirable.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hérnia Abdominal / Dor Crônica / Herniorrafia / Bloqueio Nervoso Tipo de estudo: Risk_factors_studies Aspecto: Patient_preference Limite: Humans / Male / Middle aged Idioma: En Revista: Braz J Anesthesiol Ano de publicação: 2017 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hérnia Abdominal / Dor Crônica / Herniorrafia / Bloqueio Nervoso Tipo de estudo: Risk_factors_studies Aspecto: Patient_preference Limite: Humans / Male / Middle aged Idioma: En Revista: Braz J Anesthesiol Ano de publicação: 2017 Tipo de documento: Article País de publicação: Brasil