Quadroiliac Plane Block for Postoperative Pain Management in a Patient Undergoing Retrograde Intrarenal Surgery: A Case Report


Turan E. İ., Güler H., ÖZEN V., ŞAHİN A. S.

A and A Practice, cilt.19, sa.3, 2025 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 3
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1213/xaa.0000000000001925
  • Dergi Adı: A and A Practice
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

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.