Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report

Quadratus Lumborum (QL) block has been successfully used for different abdominal procedures in the past. Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized mainly by autonomic instability, motor impairment, and cognitive dysfunction. We report a case of a patient...

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Main Authors: M. D. Luca La Colla, R. M. D. Schroeder
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2018/7161860
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author M. D. Luca La Colla
R. M. D. Schroeder
author_facet M. D. Luca La Colla
R. M. D. Schroeder
author_sort M. D. Luca La Colla
collection DOAJ
description Quadratus Lumborum (QL) block has been successfully used for different abdominal procedures in the past. Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized mainly by autonomic instability, motor impairment, and cognitive dysfunction. We report a case of a patient with MSA with a history of multiple episodes of unplanned admissions following outpatient minor surgical procedures under general anesthesia scheduled to undergo open inguinal hernia repair. In our patient, QL block was successfully used for surgical anesthesia and it resulted in hemodynamic stability and an opioid-free perioperative course.
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series Case Reports in Anesthesiology
spelling doaj-art-66df0711193743119b388b4f9f3e61482025-02-03T06:42:13ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/71618607161860Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case ReportM. D. Luca La Colla0R. M. D. Schroeder1Department of Anesthesiology, Duke University Medical Center, Durham, NC, USADepartment of Anesthesiology, Duke University Medical Center, Durham, NC, USAQuadratus Lumborum (QL) block has been successfully used for different abdominal procedures in the past. Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized mainly by autonomic instability, motor impairment, and cognitive dysfunction. We report a case of a patient with MSA with a history of multiple episodes of unplanned admissions following outpatient minor surgical procedures under general anesthesia scheduled to undergo open inguinal hernia repair. In our patient, QL block was successfully used for surgical anesthesia and it resulted in hemodynamic stability and an opioid-free perioperative course.http://dx.doi.org/10.1155/2018/7161860
spellingShingle M. D. Luca La Colla
R. M. D. Schroeder
Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report
Case Reports in Anesthesiology
title Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report
title_full Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report
title_fullStr Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report
title_full_unstemmed Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report
title_short Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report
title_sort quadratus lumborum block as sole homeostatic preserving anesthetic for a patient with multiple system atrophy undergoing open inguinal hernia repair a case report
url http://dx.doi.org/10.1155/2018/7161860
work_keys_str_mv AT mdlucalacolla quadratuslumborumblockassolehomeostaticpreservinganestheticforapatientwithmultiplesystematrophyundergoingopeninguinalherniarepairacasereport
AT rmdschroeder quadratuslumborumblockassolehomeostaticpreservinganestheticforapatientwithmultiplesystematrophyundergoingopeninguinalherniarepairacasereport