Continuous Quadroiliac Plane Block for Postoperative Analgesia After Total Hip Arthroplasty: A Case Report
Abstract
The quadroiliac plane block (QIPB) is a novel posterior fascial plane technique targeting the quadratus lumborum fascia at the iliac crest. We describe a 68-year-old, 88-kg woman with breast cancer-related lymphedema who underwent total hip arthroplasty under general anesthesia and declined neuraxial anesthesia. A continuous QIPB was performed postoperatively using an epidural catheter inserted into the posterior thoracolumbar fascial plane. After an initial 40 mL of 0.25% bupivacaine, infusion continued at 10 mg/h. Sensory spread progressed from L2-L4 to L1-L5 within 1 hour. Pain scores remained ≤2 without opioids, and no complications occurred.
Fields of Study & Subjects
Anesthesia and Pain Management
Pain Management and Opioid Use
Pain Management and Treatment
Publication details
- Journal / source
- A&A Practice
- Volume
- 20
- Issue
- 2
- Pages
- e02154–e02154
- Publication date
- 1 February 2026
- Language
- EN