TY - CHAP M1 - Book, Section TI - Ultrasound-Guided Transversus Abdominis Plane and Quadratus Lumborum Blocks A1 - Elsharkawy, Hesham A1 - Bendtsen, Thomas F. A2 - Hadzic, Admir Y1 - 2017 N1 - T2 - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e AB - Ultrasound-guided transversus abdominis plane (TAP) block has become a common analgesic method after surgery involving the abdominal wall. Because TAP blockade is limited to somatic anesthesia of the abdominal wall and highly dependent on interfascial spread, various newer techniques have been proposed to enhance analgesia, either in addition to TAP block or as a single modality. In particular, variants of quadratus lumborum blocks (QLBs) have been proposed as more consistent methods with an aim to accomplish somatic as well as visceral analgesia of the abdomen. The present evidence, mainly case reports, suggests that different variants of QLB have different analgesic effects and mechanisms of action, although this has not been formally validated. In particular, transmuscular QLB and the so-called QLB2 may result in wider and longer sensory blockade compared to TAP block (T4–L1 for QL block vs. T6–T12 for the TAP blocks) (Figures 34–1 and 34–2). This chapter focuses on underlying principles for TAP blockade and the newer QLB techniques, with an understanding that the information about the latter is based on sparse evidence of limited quality as outcome-based studies are not yet available. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1141734719 ER -