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Enhanced Recovery After Surgery

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Front. Med. | doi: 10.3389/fmed.2018.00044

A review of the Quadratus Lumborum Block and ERAS

  • 1Weill Cornell Medical College, Cornell University, United States
  • 2General Hospital Leskovac, Serbia
  • 3SUNY Downstate Medical Center, United States

The use of truncal nerve blocks have been described since 2001. Since then, there have been many studies trying to understand the ideal clinical scenarios for its use. Since 2001, the TAP 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.

Keywords: Quadratus lumborum, Truncal block, QL block, TAP block, ultrasound

Received: 07 Jan 2018; Accepted: 07 Feb 2018.

Edited by:

Radmilo J. Janković, Department for Anesthesia and Intensive Care, School of Medicine, University of Niš, Serbia

Reviewed by:

Danica Z. Markovic, Clinical center in Nis, Serbia
Dusica Simic, Faculty of Medicine, University of Belgrade, Serbia  

Copyright: © 2018 Akerman, Pejcic and Veličković. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Michael Akerman, Weill Cornell Medical College, Cornell University, 525 East 68th Street, New York City, 10065, NY, United States,