La Colla Luca, La Colla M D Luca, Schroeder Rebecca, Schroeder R M D
Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
Case Rep Anesthesiol. 2018 Jun 28;2018:7161860. doi: 10.1155/2018/7161860. eCollection 2018.
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.
过去，腰方肌（QL）阻滞已成功应用于不同的腹部手术。多系统萎缩（MSA）是一种进行性神经退行性疾病，主要特征为自主神经功能不稳定、运动障碍和认知功能障碍。我们报告一例患有多系统萎缩的患者，该患者在全身麻醉下接受门诊小手术后有多次计划外入院史，现计划进行开放性腹股沟疝修补术。在我们的患者中，腰方肌阻滞成功用于手术麻醉，并实现了血流动力学稳定以及围手术期无阿片类药物使用。
