Anatomical and ultrasound description of two transmuscular quadratus lumborum block approaches at L2 level and their application in abdominal surgery

The transmuscular quadratus lumborum (TQL) block is one of the recently evolved myofascial blocks utilised in abdominal surgery. It involves injecting local anaesthetic into the fascial plane anterior to the thoracolumbar fascia. This block has previously been described with a transverse oblique par...

Full description

Saved in:
Bibliographic Details
Published in:Anaesthesia and intensive care 2019-03, Vol.47 (2), p.141-145
Main Authors: Kadam, Vasanth Rao, Van Wijk, Roelof M, Ludbrook, Guy L, Thiruvenkatarajan, Venkatesan
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Anesthesia
Authorship
Fasciae (Anatomy)
Local anesthesia
Muscles
Musculoskeletal system
Patient-controlled analgesia
Physiology
Ultrasonic imaging
Wounds and injuries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The transmuscular quadratus lumborum (TQL) block is one of the recently evolved myofascial blocks utilised in abdominal surgery. It involves injecting local anaesthetic into the fascial plane anterior to the thoracolumbar fascia. This block has previously been described with a transverse oblique paramedian approach at the L2 level in the sitting position. We describe a TQL block at the same level in the lateral position using a transverse posterolateral approach to provide analgesia for patients undergoing abdominal surgery. We elaborate on these two approaches of TQL block at the L2 level, in relation to the anatomy, sonoanatomy and technical aspects.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X19839931