Bloqueio do quadrado lombar em dor crônica pós‐hernioplastia abdominal: relato de caso

Abstract

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.

Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative Pain After Cesarean Delivery

“…4 In the past few years, several case reports have shown that the QLB has also been successful in providing postoperative pain relief. [5][6][7][8] In a previous randomized control study, we compared the QLB against a control group, in which we intentionally moved our point of injection from the original anterolateral side of the quadratus lumborum muscle to the posterior wall (QLB type 2). 9 This has become our standard practice, as we have abandoned the anterolateral approach completely subsequent to publication of our magnetic resonance study on optimal point of insertion and dispersion of local anesthetics.…”

Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters

“…Single injection QL block has been used successfully for the management of postoperative pain relief after caesarean section [12] for sub-total gastrectomy in a septic patient [13], laparotomy for duodenal tumour excision and to manage chronic back pain [14]. The effective pain relief lasted for 12-14hours.…”

Comparison of transversus abdominis plane block and quadratus lumborum block for post-caesarean section analgesia: A randomised clinical trial

“…[8] Various case reports are there showing effective post-operative analgesic profile of QL block. [49101112]…”