Quadratus Lumborum Block

Sandeep Dhanjal, Scott Tonder, Sandeep Dhanjal, Scott Tonder

Excerpt

Healthcare providers have used many regional, anesthetic modalities to provide analgesia for the thorax, abdomen, and pelvis. While each of these modalities has a wide range of applications, their utility is limited by a few contraindications. As an alternative to neuraxial anesthetics, truncal nerve blocks and interfascial plane blocks for postoperative analgesia have been used for nearly a half-century. Practitioners initially used these as ilioinguinal, iliohypogastric, rectus sheath blocks, and in the early 21st century, transversus abdominis plane (TAP) blocks. This article reviews a recent variation of the TAP block developed by Rafael Blanco, known as the quadratus lumborum block (QLB).

Conflict of interest statement

Disclosure: Sandeep Dhanjal declares no relevant financial relationships with ineligible companies.

Disclosure: Scott Tonder declares no relevant financial relationships with ineligible companies.

Copyright © 2024, StatPearls Publishing LLC.

References

    1. Hutschenreuter K. [Indications and contraindications of regional anesthesia (author's transl)]. Langenbecks Arch Chir. 1977 Nov;345:487-92.
    1. Young MJ, Gorlin AW, Modest VE, Quraishi SA. Clinical implications of the transversus abdominis plane block in adults. Anesthesiol Res Pract. 2012;2012:731645.
    1. Mrunalini P, Raju NV, Nath VN, Saheb SM. Efficacy of transversus abdominis plane block in patients undergoing emergency laparotomies. Anesth Essays Res. 2014 Sep-Dec;8(3):377-82.
    1. Horlocker TT, Vandermeuelen E, Kopp SL, Gogarten W, Leffert LR, Benzon HT. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition). Reg Anesth Pain Med. 2018 Apr;43(3):263-309.
    1. Smith BE, Suchak M, Siggins D, Challands J. Rectus sheath block for diagnostic laparoscopy. Anaesthesia. 1988 Nov;43(11):947-8.
    1. Ueshima H, Otake H, Lin JA. Ultrasound-Guided Quadratus Lumborum Block: An Updated Review of Anatomy and Techniques. Biomed Res Int. 2017;2017:2752876.
    1. Tesarz J, Hoheisel U, Wiedenhöfer B, Mense S. Sensory innervation of the thoracolumbar fascia in rats and humans. Neuroscience. 2011 Oct 27;194:302-8.
    1. El-Boghdadly K, Elsharkawy H, Short A, Chin KJ. Quadratus Lumborum Block Nomenclature and Anatomical Considerations. Reg Anesth Pain Med. 2016 Jul-Aug;41(4):548-9.
    1. Ueshima H, Yoshiyama S, Otake H. RETRACTED: The ultrasound-guided continuous transmuscular quadratus lumborum block is an effective analgesia for total hip arthroplasty. J Clin Anesth. 2016 Jun;31:35.
    1. Ueshima H, Hiroshi O. RETRACTED: Lumbar vertebra surgery performed with a bilateral posterior quadratus lumborum block. J Clin Anesth. 2017 Sep;41:61.
    1. Akerman M, Pejčić N, Veličković I. A Review of the Quadratus Lumborum Block and ERAS. Front Med (Lausanne) 2018;5:44.
    1. Murouchi T, Iwasaki S, Yamakage M. Quadratus Lumborum Block: Analgesic Effects and Chronological Ropivacaine Concentrations After Laparoscopic Surgery. Reg Anesth Pain Med. 2016 Mar-Apr;41(2):146-50.
    1. Slocombe P, Pattullo S. A site check prior to regional anaesthesia to prevent wrong-sided blocks. Anaesth Intensive Care. 2016 Jul;44(4):513-6.
    1. Mancone AG, Dickey AR, Fitzgerald BM, Kraus GP, Dhanjal ST. LAST Double Check - A Comprehensive Pre-Regional Checklist for the Busy Institution. Mil Med. 2018 Sep 01;183(9-10):e281-e285.

Source: PubMed

3
Abonnere