Engin İhsan Turan, Halil Güler, Volkan Özen, Ayça Sultan Şahin
{"title":"骨盆平面阻滞治疗逆行肾内手术患者术后疼痛:1例报告。","authors":"Engin İhsan Turan, Halil Güler, Volkan Özen, Ayça Sultan Şahin","doi":"10.1213/XAA.0000000000001925","DOIUrl":null,"url":null,"abstract":"<p><p>Opioid-free analgesia is crucial for high-risk patients, such as those with upper airway malignancies, to prevent respiratory complications. The Quadroiliac Plane Block (QIPB) offers an effective alternative. A 43-year-old female with base of tongue cancer underwent retrograde intrarenal surgery (RIRS) under spinal anesthesia. Postoperatively, a unilateral QIPB with 50 mg of 0.25% bupivacaine provided pain control. Pain levels, measured with the Numeric Rating Scale, decreased steadily over 24 hours without opioid use. QIPB effectively provided opioid-free analgesia for this high-risk patient, indicating its potential in perioperative pain management for similar cases.</p>","PeriodicalId":56372,"journal":{"name":"A&A practice","volume":"19 3","pages":"e01925"},"PeriodicalIF":0.6000,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quadroiliac Plane Block for Postoperative Pain Management in a Patient Undergoing Retrograde Intrarenal Surgery: A Case Report.\",\"authors\":\"Engin İhsan Turan, Halil Güler, Volkan Özen, Ayça Sultan Şahin\",\"doi\":\"10.1213/XAA.0000000000001925\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Opioid-free analgesia is crucial for high-risk patients, such as those with upper airway malignancies, to prevent respiratory complications. The Quadroiliac Plane Block (QIPB) offers an effective alternative. A 43-year-old female with base of tongue cancer underwent retrograde intrarenal surgery (RIRS) under spinal anesthesia. Postoperatively, a unilateral QIPB with 50 mg of 0.25% bupivacaine provided pain control. Pain levels, measured with the Numeric Rating Scale, decreased steadily over 24 hours without opioid use. QIPB effectively provided opioid-free analgesia for this high-risk patient, indicating its potential in perioperative pain management for similar cases.</p>\",\"PeriodicalId\":56372,\"journal\":{\"name\":\"A&A practice\",\"volume\":\"19 3\",\"pages\":\"e01925\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-02-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"A&A practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1213/XAA.0000000000001925\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"A&A practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1213/XAA.0000000000001925","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
Quadroiliac Plane Block for Postoperative Pain Management in a Patient Undergoing Retrograde Intrarenal Surgery: A Case Report.
Opioid-free analgesia is crucial for high-risk patients, such as those with upper airway malignancies, to prevent respiratory complications. The Quadroiliac Plane Block (QIPB) offers an effective alternative. A 43-year-old female with base of tongue cancer underwent retrograde intrarenal surgery (RIRS) under spinal anesthesia. Postoperatively, a unilateral QIPB with 50 mg of 0.25% bupivacaine provided pain control. Pain levels, measured with the Numeric Rating Scale, decreased steadily over 24 hours without opioid use. QIPB effectively provided opioid-free analgesia for this high-risk patient, indicating its potential in perioperative pain management for similar cases.