Bloqueio dos nervos ilioinguinal e iliohipogástrico guiado por ultra-sonografia associado à anestesia geral: relato de caso

摘要

BACKGROUND AND OBJECTIVES: Outpatient surgeries are becoming more frequent. Ilioinguinal and iliohypogastric nerve block has been used in postoperative analgesia of patients undergoing outpatient inguinal herniorrhaphy. Ultrasound-guided regional anesthesia increases the accuracy of deposition of the local anesthetic around the nerves. The objective of this report was to present a case of ultrasound-guided ilioinguinal and iliohypogastric nerve block for outpatient inguinal herniorrhaphy. CASE REPORT: A 36-year old male patient, 74 kg, physical status ASA I, was scheduled for inguinal herniorrhaphy. Ultrasound-guided iliohypogastric and ilioinguinal nerve block was accomplished with 0.5% ropivacaine, followed by total intravenous anesthesia. The patient was discharged from the hospital 4 hours after the procedure with a pain score of 3 in the Verbal Analogue Scale. CONCLUSION: Ultrasound-guided iliohypogastric and ilioinguinal nerve block in patients undergoing outpatient inguinal herniorrhaphy can be done as an aid to postoperative analgesia.