Ultrasound-Guided Quadratus Lumborum Block as A Post-operative Analgesia for Total Abdominal Hysterectomy: A Case Report

Total Abdominal Hysterectomy is a major invasive abdominal surgery which accompanied with severe post-operative pain. Multimodal analgesia techniques can provide efficient analgesic coverage minimal side effects, Quadratus Lumborum Block an wall block gives good effect for lower pain score and less requirement opioids. A 67-year-old female was scheduled to undergo total hysterectomy surgery. The patient presented comorbidities, morbid obesity, bronchial asthma, obstructive sleep apnea hypothyroidism. procedure performed under general anesthesia by the end of surgery, carried out using ultrasound-guided technique. bilaterally successfully able sufficient post hysterectomy, thus, provided patient's not only opportunity early ambulation but also avoided adverse effects opioids (especially respiratory complications). Keywords: Lamborum Wall Nerve Block, Asthma, General Anesthesia, Hysterectomy, Obstructive Sleep Apnea