scholarly journals Ultrasound-Guided Quadratus Lumborum Block: An Updated Review of Anatomy and Techniques

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Hironobu Ueshima ◽  
Hiroshi Otake ◽  
Jui-An Lin
Keyword(s):  
Abdominal Surgery ◽  
Local Anesthetic ◽  
Future Research ◽  
Original Publication ◽  
Ultrasound Guided ◽  
Nerve Roots ◽  
Quadratus Lumborum ◽  
Lateral Posterior ◽  
Psoas Major ◽  
Block Approach

Purpose of Review. Since the original publication on the quadratus lumborum (QL) block, the technique has evolved significantly during the last decade. This review highlights recent advances in various approaches for administering the QL block and proposes directions for future research. Recent Findings. The QL block findings continue to become clearer. We now understand that the QL block has several approach methods (anterior, lateral, posterior, and intramuscular) and the spread of local anesthetic varies with each approach. In particular, dye injected using the anterior QL block approach spread to the L1, L2, and L3 nerve roots and within psoas major and QL muscles. Summary. The QL block is an effective analgesic tool for abdominal surgery. However, the best approach is yet to be determined. Therefore, the anesthetic spread of the several QL blocks must be made clear.

scholarly journals Ultrasound guided catheter placement for TeQuiLa block: a novel techinique for post-operative analgesia for abdominal surgeries

2018 ◽  
Vol 4 (2) ◽  
pp. 94-95
Author(s):  
Prajjwal Raj Bhattarai
Keyword(s):  
Abdominal Surgery ◽  
Continuous Infusion ◽  
Postoperative Analgesia ◽  
Local Anesthetic ◽  
Catheter Placement ◽  
Ultrasound Guided ◽  
Effective Measure ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum

Ultrasound guided abdominal plane blocks are being considered as effective measure for postoperative analgesia. Among these Quadratus Lumborum Block has been reported to provide adequate analgesia for abdominal surgeries. Placement of catheter for continuous infusion of local in these plane provide long term analgesia for abdominal surgery. More recently, a transmuscular quadratus lumborum block (TeQuiLa Block) was described by Borglum et al and we have tried to use catheter placement and local anesthetic infusion for the same.Journal of Society of Anesthesiologists of NepalVol. 4, No.2, 2017, Page: 94-95

scholarly journals Ultrasound-Guided Quadratus Lumborum Block as A Postoperative Analgesia for Total Abdominal Hysterectomy: A Case Report

2021 ◽  
Author(s):  
Haytham El Sayed Mohamed ◽  
Fadheela Al Najar ◽  
Mohamed Nasr Awad ◽  
Faten M Hassan
Keyword(s):  
Side Effects ◽  
Abdominal Surgery ◽  
Analgesic Effect ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Multimodal Analgesia ◽  
Ultrasound Guided ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
Obstructive Sleep

Abstract Background and aim: Total Abdominal Hysterectomy is a major invasive abdominal surgery which is accompanied with severe postoperative pain. Multimodal analgesia techniques can provide efficient analgesics coverage with minimal side effects, Quadratus Lumborum Block is an abdominal wall block which gives a good analgesic effect for abdominal surgery with lower pain score and less opioids requirements.Case presentation: A 67 years old female was scheduled to undergo total abdominal hysterectomy surgery, she had comorbidities; morbid obesity, bronchial asthma, obstructive sleep apnea, and hypothyroidism. We performed General Anesthesia and by the end of surgery, a Quadratus Lumborum Block was done ultrasound-guided technique.Conclusion: We successfully performed Quadratus Lumborum Block bilaterally which was able to provide a sufficient analgesic effect for Total Abdominal Hysterectomy surgery, giving our patient the opportunity of early ambulation and avoiding opioids side effects especially the respiratory adverse effect.

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

2021 ◽  
Vol 33 (2) ◽  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Abdominal Surgery ◽  
Analgesic Effect ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Ultrasound Guided ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
Obstructive Sleep

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

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