Percutaneous Gastrostomy Tube Placement under Quadratus Lumborum Block: A Case Report

Author:

Ose Gundega1,Evansa Irina23,Ivanovs Nikita2,Zlobina Natalija2,Vanags Indulis34ORCID,Sabelnikovs Olegs34

Affiliation:

1. Faculty of Medicine, Riga Stradins University, 1007 Riga, Latvia

2. Anesthesiology, Intensive Care and Pain Department, Riga 1st Hospital, 1001 Riga, Latvia

3. Department of Anesthesiology and Intensive Care, Riga Stradins University, 1007 Riga, Latvia

4. Clinic of Anesthesiology and Reanimatology, Paul Stradins Clinical University Hospital, 1002 Riga, Latvia

Abstract

The quadratus lumborum block is a technique that is not widely applied in abdominal surgery. The influence of the mode of anesthesia on the outcome of polymorbid patients is a controversial issue in the medical literature. We report a case in which we performed a quadratus lumborum block type 2 on a woman who was admitted to Riga’s 1st hospital in need of gastrostomy, due to difficulty swallowing solid foods and liquids caused by hypopharynx carcinoma. On account of the patient’s difficult airway, general anesthesia was deemed unsafe for the patient, with a risk of patient death. Percutaneous gastrostomy tube placement under a quadratus lumborum block type 2 was performed successfully.

Publisher

MDPI AG

Subject

General Medicine

Reference14 articles.

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2. A Review of the Quadratus Lumborum Block and ERAS;Akerman;Front. Med.,2018

3. Quadratus lumborum block for postoperative pain after cesarean section: A randomized controlled trial;Blanco;Eur. J. Anaesthesiol.,2015

4. Quadratus Lumborum Block: Anatomical Concepts, Mechanisms, and Techniques;Elsharkawy;Anesthesiology,2019

5. Dhanjal, S., and Tonder, S. (2023, September 30). Quadratus Lumborum Block, Available online: https://www.ncbi.nlm.nih.gov/books/NBK537212/.

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