Akerman Michael, Pejčić Nada, Veličković Ivan
Weill Cornell Medical College, Cornell University, New York City, NY, United States.
General Hospital Leskovac, Leskovac, Serbia.
Front Med (Lausanne). 2018 Feb 26;5:44. doi: 10.3389/fmed.2018.00044. eCollection 2018.
The use of truncal nerve blocks has been described since 2001. Since then, there have been many studies trying to understand the ideal clinical scenarios for its use. Since 2001, the transversus abdominis plane block has evolved in many ways including from landmark based technique to ultrasound guided and more recently, into the quadratus lumborum (QL) block. Its anatomical placement, concentration of local anesthetic, volume of local anesthetic, and anatomic placement have all been raised as clinical questions. This article will discuss the literature of the QL block in an effort to understand how it is best used in a variety of clinical scenarios.
自2001年以来，人们就已开始描述躯干神经阻滞的应用。从那时起，有许多研究试图了解其理想的临床应用场景。自2001年以来，腹横肌平面阻滞在许多方面都有所发展，包括从基于体表标志的技术发展到超声引导，以及最近发展出的腰方肌（QL）阻滞。其解剖定位、局部麻醉药的浓度、局部麻醉药的容量以及解剖定位等都已成为临床问题。本文将讨论QL阻滞的相关文献，以了解如何在各种临床场景中最佳地使用它。
