[Hypotension associated to a bilateral quadratus lumborum block performed for post-operative analgesia in an open aortic surgery case].

ABSTRACT:

Background and objectives

Bilateral quadratus lumborum block has been described for major abdominal procedures when sepsis is present, because risks associated to epidural are considered elevated. In an open aortic surgery, a single-shot bilateral quadratus lumborum block type 1 may be an alternative to thoracic epidural block for post-operative analgesia in a patient having an increased cumulative risk for thoracic epidural hematoma.

Case report

A 56-year-old female patient presenting controlled hypertension, chronic renal disease stage 3b, dyslipidemia and a platelet count of 102,000/μl, and taking aspirin, was scheduled for bilateral aortoiliac endarterectomy. She was submitted to a sole general anesthesia plus, at end of the surgery, a bilateral quadratus lumborum block

SUBMITTER: Almeida C 

PROVIDER: S-EPMC9391694 | biostudies-literature | 2018 Nov - Dec

REPOSITORIES: biostudies-literature