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

Abstract:

: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.

journal_name

Anaesth Intensive Care

authors

Kadam VR,Van Wijk RM,Ludbrook GL,Thiruvenkatarajan V

doi

10.1177/0310057X19839931

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

141-145

issue

2

eissn

0310-057X

issn

1448-0271

journal_volume

47

pub_type

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