Journal ArticleDOI
The Pathway of Injectate Spread With the Transmuscular Quadratus Lumborum Block: A Cadaver Study.
Mette Dam,Bernhard Moriggl,Christian K. Hansen,Romed Hoermann,Thomas Fichtner Bendtsen,Jens Børglum +5 more
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TLDR
The spread of injectate with the TQL and TOP TQL approaches is cephalad from the lumbar point of administration between the quadratus lumborum and psoas major muscles, predominantly via a pathway posterior to the arcuate ligaments and into the thoracic paravertebral space to reach the somatic nerves and the thorACic sympathetic trunk in the intercostal and paraverstebral spaces.Abstract:
BACKGROUND:The spread of injectate resulting from a transmuscular quadratus lumborum (TQL) block and a transverse oblique paramedian (TOP) TQL block has never been examined. The aim of this cadaveric study was to investigate by which pathway the injectate spreads cephalad into the thoracic paraverteread more
Citations
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Journal ArticleDOI
Quadratus Lumborum Block: Anatomical Concepts, Mechanisms, and Techniques.
Hesham Elsharkawy,Kariem El-Boghdadly,Kariem El-Boghdadly,Michael J. Barrington,Michael J. Barrington +4 more
TL;DR: A review of anatomy, potential mechanisms of action, and techniques and summary of clinical evidence for quadratus lumborum block.
Journal ArticleDOI
A Review of the Quadratus Lumborum Block and ERAS.
TL;DR: The literature of the QL block is discussed in an effort to understand how it is best used in a variety of clinical scenarios.
Journal ArticleDOI
Advances in regional anaesthesia and acute pain management: a narrative review
Eric Albrecht,Ki Jinn Chin +1 more
TL;DR: There is a growing appreciation for the critical role that regional anaesthesia can play in an overall multimodal anaesthetic strategy, especially pertinent given the current focus on eliminating unnecessary peri‐operative opioid administration.
Journal ArticleDOI
Quadratus Lumborum Blocks
TL;DR: It is shown that QL blocks have the potential to produce sensory blockade and analgesia along the lower thoracic and lumbar regions, and can potentially be an analgesic modality for abdominal and hip surgeries.
Journal ArticleDOI
Anterior quadratus lumborum block analgesia for total hip arthroplasty: a randomized, controlled study.
Promil Kukreja,Lisa MacBeth,Adam Sturdivant,Charity J. Morgan,Elie Ghanem,Hari Kalagara,Vincent W. S. Chan +6 more
TL;DR: The preliminary data show that the QL block provided effective analgesia and decreased opioid requirements up to 48 hours after primary THA, and the patient satisfaction score was significantly higher in theQL group.
References
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Journal ArticleDOI
Current issues in postoperative pain management.
TL;DR: The need for upgrading the role of surgical ward nurses and collaboration with surgeons to implement enhanced recovery after surgery protocols with regular audits to improve postoperative outcome cannot be overstated.
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Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks
TL;DR: The pattern of spread of local anaesthetic differs depending on the site of injection into the transversus abdominis plane, which may have important implications for the extent of analgesia produced with each approach.
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A cadaver study comparing spread of dye and nerve involvement after three different quadratus lumborum blocks
TL;DR: Consistent spread to lumbar nerve roots was achieved using the transmuscular approach through the quadratus lumborum, after conducting blocks using ultrasound guidance in soft embalmed cadavers.
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A thermographic study of paravertebral analgesia.
TL;DR: This study demonstrates that a large unilateral somatic and sympathetic block is obtainable with a single thoracic percutaneous paravertebral injection, and challenges the suggestions that this method of analgesia is ineffective and hazardous, that a sympathetic component is a rare accompaniment and that the lumbar nerve roots are spared.
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Paravertebral somatic nerve block: a clinical, radiographic, and computed tomographic study in chronic pain patients.
TL;DR: It is concluded that the spread of a small volume of solution after paravertebral injection is imprecise and unpredictable and should be regarded as hazardous and interpreted with extreme caution.