Ultrasound-guided quadratus lumborum and subcostal transversus abdominis plane blocks

Priya Agrawal DO, Ehab Farag MD, FRCA
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Abstract

Abdominal field blocks are commonly used for postoperative analgesia in major abdominal surgeries. The original transversus abdominis plane (TAP) block is limited in its dermatomal coverage to T10-L1. However, modifications made to the classic TAP block technique can enhance the spread of local anesthetic and provide more effective analgesia. In this article, we describe 2 of such modifications of the classic TAP block, namely quadratus lumborum and subcostal TAP blocks.

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超声引导下腰方肌和肋下腹横平面阻滞
腹野阻滞是腹部大手术中常用的术后镇痛方法。原始的腹横平面(TAP)阻滞在T10-L1的皮肤覆盖范围有限。然而,对经典的TAP阻滞技术进行修改可以增强局部麻醉的扩散,并提供更有效的镇痛。在本文中,我们描述了经典TAP阻滞的两种修改,即腰方肌和肋下TAP阻滞。
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