Surgeon assisted quadratus lumborum block – ‘Gaurav-Aditi’ technique case series

Suri, Aditi; Sindwani, Gaurav; Sahu, Sandeep; Gupta, Neha; Sureka, Sanjoy Kumar

doi:10.1016/j.jclinane.2017.09.012

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…Note: Table 2 outlines our proposed criteria for acute pain following nephrectomy using the criteria set forth by ACTTION-APS-AAPM Pain Taxonomy (AAAPT). coverage from T5-L1 in 3 patients and T6-L1 in 3 patients, 38 indicating some variation in coverage between individual practitioners and between block types but reliable coverage from T7-L1. Zhu et al showed the quadratus lumborum block group had a lower incidence of postoperative nausea and vomiting compared to saline controls.…”

Section: Mechanismsmentioning

confidence: 98%

“…33 The case reports and series reviewed in this paper uniformly reported excellent analgesic control following quadratus lumborum block for a Local and Regional Anesthesia 2021:14 variety of different nephrectomy types. [34][35][36][37][38][39][40][41] These case studies can be seen in more detail in Table 4. Like with opioid reduction, the randomized controlled trials along with observational studies show the quadratus lumborum blocks are successful in controlling postoperative pain in patients receiving laparoscopic nephrectomy.…”

Section: Pain Control Nephrectomy With Qlbmentioning

confidence: 99%

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Quadratus Lumborum Blocks in Nephrectomy: A Narrative Review

Little¹,

Rahman²

2021

LRA

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The quadratus lumborum block is a novel truncal block where local anaesthetic is injected adjacent to the quadratus lumborum muscle. It is used for caesarean sections, hip arthroplasty, gynecologic surgery, colectomy, and recently nephrectomy. To date, there are no reviews that outline the efficacy and performance of the quadratus lumborum blocks in patients receiving laparoscopic nephrectomy. The objective of this project was to outline the current available data from both clinical trials along with case series and reports regarding the methods and utility of quadratus lumborum blocks for analgesia in patients receiving nephrectomy. For this literature review, we searched Pubmed, Embase, and Web of Science from their inception until 5/31/2020. Our search terms were as follows: "(nephrectomy OR laparoscopic nephrectomy) AND (QL block OR Quadratus Lumborum block OR QL OR TQL OR Thoracolumbar fascia block)." We analyzed all relevant clinical trials for quality using the Jadad scale. Our search yielded a total of 30 articles, 23 of which we ultimately reviewed for this manuscript. The qualitative sum of these data show that patients receiving quadratus lumborum block for nephrectomies have reduced opioid requirements, reduced pain scores, and improved side-effects relative to other analgesic modalities like epidurals. Based on these findings, we conclude that the quadratus lumborum block is a useful analgesic for patients undergoing nephrectomy.

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Section: Mechanismsmentioning

confidence: 98%

Section: Pain Control Nephrectomy With Qlbmentioning

confidence: 99%

Quadratus Lumborum Blocks in Nephrectomy: A Narrative Review

Little¹,

Rahman²

2021

LRA

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“…The QLB has emerged as an efficacious regional anaesthetic technique used to optimize analgesia in renal surgery. It is commonly administered by anaesthetists using an ultrasonography-guided approach, and only two papers to date have described a surgeon-assisted transincisional approach, both in open renal surgery [7,8]. We have, for the first time, described a modification of the QLB administered in a robot-assisted or laparoscopic renal or adrenal surgical setting.…”

Section: Discussionmentioning

confidence: 99%

“…The QL muscle is however directly visible and accessible to the operating surgeon, particularly via a retroperitoneal approach and we have found that delivery of a QLB by the operating surgeon under direct vision may be done quickly and easily. Alansary et al recently described a transincisional ultrasonography-guided QLB in open renal surgeries to positive effect in a randomized controlled trial [7], as did Suri et al in a case series [8].…”

Section: Introductionmentioning

confidence: 90%

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Transincisional quadratus lumborum block in robotic and laparoscopic renal and adrenal surgery: a novel approach

Gabriel,

Alanbuki,

Larner

2023

BJU International

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Quadratus Lumborum Block: a Technical Review

Gupta

Sondekoppam

Kalagara

2019

Curr Anesthesiol Rep

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Purpose of Review Ultrasound-guided quadratus lumborum block (QLB) is gaining popularity in regional anesthesia for various surgical procedures. The purpose of this review is to understand the relevant clinical anatomy, different mechanisms of actions, and techniques used for the block and clinical evidence so far. Recent Findings The current data suggests a wide dermatomal distribution of the local anesthetic from T7-L2. The evidence regarding its utility is still evolving but has shown reduced opioid requirements for cesarean sections, lower abdominal surgery, and hip surgery. Prolonged analgesia has been reported as compared with more conventional transversus abdominis plane (TAP) block. This block has also been reported for above knee amputation, femoral-pop bypass, lumbar laminectomy and fusion, iliac crest bone graft, and iliac and acetabulum fracture. Summary Quadratus lumborum can be performed through different approaches which requires sound knowledge of anatomy. Further research to determine which approach yields best results is warranted.

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Surgeon assisted quadratus lumborum block – ‘Gaurav-Aditi’ technique case series

Cited by 6 publications

References 6 publications

Quadratus Lumborum Blocks in Nephrectomy: A Narrative Review

Quadratus Lumborum Blocks in Nephrectomy: A Narrative Review

Transincisional quadratus lumborum block in robotic and laparoscopic renal and adrenal surgery: a novel approach

Quadratus Lumborum Block: a Technical Review

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