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Updated: Feb 7, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Continuous Quadroiliac Plane Block for Postoperative Analgesia After Total Hip Arthroplasty: A Case Report
Engin İhsan Turan1, Zehra Polat Turan2, Taylan Özbey1
1From the Department of Anesthesiology, Istanbul Health Science University Kanuni Sultan Süleyman Education and Training Hospital, Istanbul, Turkey.
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.
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