Ultrasound-guided ileoinguinal and ileohypogastric nerve block associated with general anesthesia. Case report.
OBJECTIVE
Outpatient surgeries are becoming more frequent. Ilioinguinal and iliohypogastric nerve block has been used in postoperative analgesia of patients undergoing outpatient inguinal herniorrhaphy. Ultrasound-guided regional anesthesia increases the accuracy of deposition of the local anesthetic around the nerves. The objective of this report was to present a case of ultrasound-guided ilioinguinal and iliohypogastric nerve block for outpatient inguinal herniorrhaphy.


METHODS
A 36-year old male patient, 74 kg, physical status ASA I, was scheduled for inguinal herniorrhaphy. Ultrasound-guided iliohypogastric and ilioinguinal nerve block was accomplished with 0.5% ropivacaine, followed by total intravenous anesthesia. The patient was discharged from the hospital 4 hours after the procedure with a pain score of 3 in the Verbal Analogue Scale.


CONCLUSIONS
Ultrasound-guided iliohypogastric and ilioinguinal nerve block in patients undergoing outpatient inguinal herniorrhaphy can be done as an aid to postoperative analgesia.
Núcleo de Ensino e Pesquisa em Anestesia, Regional do Hospital Governador Celso Ramos (HGCR), CET Integrado de Anestesiologia da SES-SC, Florianópolis, SC. diconceicao@hotmail.com
Diogo Brüggemann
DB
da Conceição
Pablo Escovedo
PE
Helayel
D000328:Adult; D000768:Anesthesia, General; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D009420:Nervous System / Q000000981:diagnostic imaging; D014463:Ultrasonography