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QUADRATUS LUMBORUM BLOCK FOR BOTH CHOLECYSTECTOMY AND RIGHT SIDED NEPHRECTOMY
Author(s): ,
Gurkan, Y.
Affiliations:
Kocaeli University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kocaeli, Turkey
,
Yorukoglu, H.U.*
Affiliations:
Kocaeli University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kocaeli, Turkey
,
Ulugol, H.
Affiliations:
Acıbadem Faculty of Medicine, Department of Anaesthesiology and Reanimation, Istanbul, Turkey
Kus, A.
Affiliations:
Kocaeli University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Kocaeli, Turkey
ESRA Academy. yörükoğlu h. Sep 13, 2017; 190915
Topic: REGIONAL ANAESTHESIA TECHNIQUES - BLOCK PERFORMANCE
Dr. hadi ufuk yörükoğlu
Dr. hadi ufuk yörükoğlu

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Abstract
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Background and Aims:

The quadratus lumborum block (QLB) is a unilateral facial plane block which extends from T4 to L1 at the paravertebral space. In this case report, we share the results of a patient who had surgery for cholecystectomy and right nephrectomy surgeries at the same session.

Methods:

Forty-six years old, ASA I female patient underwent open surgery for cholecystectomy and right sided nephrectomy operations at the same session. After the general anesthesia was induced with propofol and fentanyl, QLB was performed in the left lateral decubitus position. A convex probe was placed in transverse orientation between the iliac crest and the costal margin at the midclavicular line. By using the fascial plane technique, 20cc of %0,25 bupivacaine was injected to the facial plane between the quadratus lumborum and psoas major muscles. The surgery lasted four hours and completed uneventfully. Patient was administered tramadol 100 mg and paracetamol 1 gm IV. In the postoperative period, patient was provided with morphine PCA. Patient controlled analgesia device was set to deliver 1 mg bolus dose and had 8 minutes of lock out period.

Results:

Patient was comfortable and pain free most of the time in the first postoperative 24 hours. After 24 hours, VAS score was 0 and total demanded dose of morphine was 13 mg.

Conclusions:

This case report recommends that QLB may be an adequate choice for post-operative pain management fort patients undergoing cholecystectomy and nephrectomy surgeries. 

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