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Case Reports in Anesthesiology
Volume 2018, Article ID 7161860, 3 pages
Case Report

Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report

Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA

Correspondence should be addressed to M. D. Luca La Colla; moc.liamg@acul.allocal

Received 26 May 2018; Accepted 13 June 2018; Published 28 June 2018

Academic Editor: Ehab Farag

Copyright © 2018 M. D. Luca La Colla and R. M. D. Schroeder. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Quadratus Lumborum (QL) block has been successfully used for different abdominal procedures in the past. Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized mainly by autonomic instability, motor impairment, and cognitive dysfunction. We report a case of a patient with MSA with a history of multiple episodes of unplanned admissions following outpatient minor surgical procedures under general anesthesia scheduled to undergo open inguinal hernia repair. In our patient, QL block was successfully used for surgical anesthesia and it resulted in hemodynamic stability and an opioid-free perioperative course.