{"title":"Quadratus Lumborum Blocks in Nephrectomy: A Narrative Review.","authors":"Christopher Little, Siamak Rahman","doi":"10.2147/LRA.S290224","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/22/lra-14-57.PMC8064613.pdf","citationCount":"8","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Local and Regional Anesthesia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/LRA.S290224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 8
Abstract
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.
腰方肌阻滞是一种新型的腰方肌阻滞,在腰方肌附近注射局部麻醉剂。它被用于剖腹产、髋关节置换术、妇科手术、结肠切除术和最近的肾切除术。迄今为止,尚无综述概述腰方肌阻滞在接受腹腔镜肾切除术患者中的疗效和表现。该项目的目的是概述目前从临床试验以及病例系列和报告中获得的关于腰方肌阻滞用于接受肾切除术患者镇痛的方法和效用的可用数据。对于这篇文献综述,我们检索了Pubmed, Embase和Web of Science,从它们成立到2020年5月31日。我们的搜索词如下:“(肾切除术或腹腔镜肾切除术)和(QL阻滞或腰方肌阻滞或QL或TQL或胸腰筋膜阻滞)。”我们使用Jadad量表分析了所有相关临床试验的质量。我们总共检索了30篇文章,其中23篇我们最终为本文审阅。这些数据的定性总结表明,与硬膜外等其他镇痛方式相比,接受腰方肌阻滞行肾切除术的患者对阿片类药物的需求减少,疼痛评分降低,副作用改善。基于这些发现,我们认为腰方肌阻滞对于接受肾切除术的患者是一种有用的镇痛药。