title: Continuous Quadratus Lumborum Block for Postoperative Pain in Total Hip Arthroplasty: A Case Report.
abstract: A 69-year-old man with a history of chronic pain and opioid use presented for total hip arthroplasty. In the interests of ensuring early mobilization and pain control, we chose a continuous quadratus lumborum block technique, a novel ultrasound-guided block that has not yet been described for total hip arthroplasty, hypothesizing that it would be motor-sparing. While the perineural catheter was infused, the patient required no IV opioids. He was able to ambulate on the first postoperative day, reporting pain scores between 0 and 3/10. The quadratus lumborum block is a promising technique that, in our patient, was motor-sparing and provided excellent pain control.
authors: From the *Veterans Affairs, Puget Sound, Seattle, Washington; and †Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, Washington.
authors: Margaret M
authors: MM
authors: Hockett
authors: Sheena
authors: S
authors: Hembrador
authors: Alex
authors: A
authors: Lee
mesh_terms: D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001340:Autonomic Nerve Block / Q000379:methods*; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000000981:diagnostic imaging / Q000517:prevention & control*