Dhanjal Sandeep T., Tonder Scott
San Antonio Military Medical Center
Healthcare providers have used many regional, anesthetic modalities to provide analgesia for the thorax, abdomen, and pelvis. While each of these modalities has a wide range of applications, their utility is limited by a few contraindications. As an alternative to neuraxial anesthetics, truncal nerve blocks and interfascial plane blocks for postoperative analgesia have been used for nearly a half-century. Practitioners initially used these as ilioinguinal, iliohypogastric, rectus sheath blocks, and in the early 21st century, transversus abdominis plane (TAP) blocks. This article reviews a recent variation of the TAP block developed by Rafael Blanco, known as the quadratus lumborum block (QLB).
医疗服务提供者已采用多种局部麻醉方式为胸部、腹部和骨盆提供镇痛。虽然这些方式中的每一种都有广泛的应用，但它们的效用受到一些禁忌症的限制。作为神经轴索麻醉的替代方法，用于术后镇痛的躯干神经阻滞和筋膜间平面阻滞已使用了近半个世纪。从业者最初将这些方法用作髂腹股沟、髂腹下、腹直肌鞘阻滞，在21世纪初，则开始使用腹横肌平面（TAP）阻滞。本文回顾了拉斐尔·布兰科开发的TAP阻滞的一种最新变体，即腰方肌阻滞（QLB）。
