<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Objective:</bold> Continuous quadratus lumborum (QL) analgesia is a new option for proximal femur surgery considered safe and effective. The purpose of this report was to show that we may not be aware of all the possible complications of this technique, and urinary retention may occur even when the block is performed unilaterally.<bold>Case report:</bold> To an obese, intubated, mechanically ventilated, female patient, operated in prone position for removal of a femur tumour, we performed a trans-muscular quadratus lumborum block (TQL). We mounted a catheter and administered continuous infusion of local anaesthetic in the postoperative period. The patient experienced urinary retention. A urinary catheter was placed and it was maintained for the entire period of local anaesthetic infusion. When the catheter was removed, 72 hours after the surgery, the patient resumed normal bladder functions.<bold>Conclusion:</bold> Urinary retention is a possible complication when continuous quadratus lumborum analgesia is used, even when performed unilaterally.</abstract>

Objective: Continuous quadratus lumborum (QL) analgesia is a new option for proximal femur surgery considered safe and effective. The purpose of this report was to show that we may not be aware of all the possible complications of this technique, and urinary retention may occur even when the block is performed unilaterally.Case report: To an obese, intubated, mechanically ventilated, female patient, operated in prone position for removal of a femur tumour, we performed a trans-muscular quadratus lumborum block (TQL). We mounted a catheter and administered continuous infusion of local anaesthetic in the postoperative period. The patient experienced urinary retention. A urinary catheter was placed and it was maintained for the entire period of local anaesthetic infusion. When the catheter was removed, 72 hours after the surgery, the patient resumed normal bladder functions.Conclusion: Urinary retention is a possible complication when continuous quadratus lumborum analgesia is used, even when performed unilaterally.

Urinary retention: a possible complication of unilateral continuous quadratus lumborum analgesia – a case report

Department of Anaesthesiology and Intensive Care

University of Medicine and Pharmacy “Iuliu Haţieganu”

Research Center for Advanced Medicine Medfuture

Romanian Journal of Anaesthesia and Intensive Care

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Objective: Continuous quadratus lumborum (QL) analgesia is a new option for proximal femur surgery considered safe and effective. The purpose of this report...

Urinary retention: a possible complication of unilateral continuous quadratus lumborum analgesia – a case report

Published Online: Jun 18, 2019

Page range: 75 - 78

Received: Feb 25, 2019

Accepted: Mar 19, 2019

DOI: https://doi.org/10.2478/rjaic-2019-0011

Keywords
quadratus lumborum block, ultrasound guided regional anaesthesia, urinary retention, toracolumbar plane block, regional anaesthesia complications

© 2019 Dan Sebastian Dîrzu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Urinary retention: a possible complication of unilateral continuous quadratus lumborum analgesia – a case report

Published Online: Jun 18, 2019

Page range: 75 - 78

Received: Feb 25, 2019

Accepted: Mar 19, 2019

DOI: https://doi.org/10.2478/rjaic-2019-0011

Keywordsquadratus lumborum block, ultrasound guided regional anaesthesia, urinary retention, toracolumbar plane block, regional anaesthesia complications

© 2019 Dan Sebastian Dîrzu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
quadratus lumborum block, ultrasound guided regional anaesthesia, urinary retention, toracolumbar plane block, regional anaesthesia complications