La Colla Luca, Ben-David Bruce, Merman Rita
From the Department of Anesthesiology, University of Pittsburgh (UPMC) Medical Center, Pittsburgh, Pennsylvania.
A A Case Rep. 2017 Jan 1;8(1):4-6. doi: 10.1213/XAA.0000000000000406.
Quadratus lumborum (QL) block was first described several years ago, but few articles have been published regarding this technique, for the most part case series involving abdominal surgery. We report 2 cases of prolonged, extensive block of thoracic and lumbar dermatomes after QL block in patients undergoing different hip surgery procedures for whom QL block was used in place of lumbar plexus block. Further prospective studies comparing these 2 techniques are necessary to better characterize the role of QL block in hip surgery.
腰方肌(QL)阻滞在数年前首次被描述,但关于该技术的文章发表较少,大部分是涉及腹部手术的病例系列。我们报告了2例在接受不同髋关节手术的患者中,使用QL阻滞代替腰丛阻滞时出现胸腰段皮节长期广泛阻滞的病例。有必要进行进一步的前瞻性研究来比较这两种技术,以便更好地明确QL阻滞在髋关节手术中的作用。