title: Quadratus lumborum catheters for breast reconstruction requiring transverse rectus abdominis myocutaneous flaps.
abstract: Patients diagnosed with breast cancer may opt to undergo surgical reconstructive flaps at the time of or after mastectomies. These surgeries leave patients with significant postoperative pain and sometimes involve large surgical beds including graft sites from the abdomen to reconstruct the breast. Consequently, multimodal methods of pain management have become highly favored. Quadratus lumborum catheters offer an opioid-sparing technique that can be performed easily and safely. We present a case of a patient who underwent a breast flap reconstruction and had bilateral quadratus lumborum catheters placed for perioperative pain control.
authors.affiliation: Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
authors.forename: Nicole Z
authors.initials: NZ
authors.lastname: Spence
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Patrycja
authors.initials: P
authors.lastname: Olszynski
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Lehan
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Jean-Lois
authors.initials: JL
authors.lastname: Horn
authors.affiliation: Divisions of Pain Medicine, Regional Anesthesia & Liver Transplant Anesthesia, Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY, USA. cw2538@cumc.columbia.edu.
authors.forename: Christopher A J
authors.initials: CA
authors.lastname: Webb
mesh_terms: D000005:Abdomen / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery*; D057785:Catheters; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D064827:Myocutaneous Flap / Q000637:transplantation*; D010149:Postoperative Pain / Q000517:prevention & control; D017568:Rectus Abdominis
keywords: Abdominal reconstruction; Multimodal analgesia; Quadratus lumborum block; Transverse rectus abdominis myocutaneous (TRAM) flap