Journal of Anesthesia

, Volume 30, Issue 3, pp 506–509 | Cite as

Quadratus lumborum catheters for breast reconstruction requiring transverse rectus abdominis myocutaneous flaps

  • Nicole Z. Spence
  • Patrycja Olszynski
  • Anne Lehan
  • Jean-Lois Horn
  • Christopher A. J. WebbEmail author
Clinical Report


Patients diagnosed with breast cancer may opt to undergo surgical reconstructive flaps at the time of or after mastectomies. These surgeries leave patients with significant postoperative pain and sometimes involve large surgical beds including graft sites from the abdomen to reconstruct the breast. Consequently, multimodal methods of pain management have become highly favored. Quadratus lumborum catheters offer an opioid-sparing technique that can be performed easily and safely. We present a case of a patient who underwent a breast flap reconstruction and had bilateral quadratus lumborum catheters placed for perioperative pain control.


Quadratus lumborum block Abdominal reconstruction Transverse rectus abdominis myocutaneous (TRAM) flap Multimodal analgesia 


Compliance with ethical standards

Conflict of interest



Not funded.


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Copyright information

© Japanese Society of Anesthesiologists 2016

Authors and Affiliations

  • Nicole Z. Spence
    • 1
  • Patrycja Olszynski
    • 2
  • Anne Lehan
    • 2
  • Jean-Lois Horn
    • 2
  • Christopher A. J. Webb
    • 3
    Email author
  1. 1.Department of AnesthesiologyColumbia University College of Physicians and SurgeonsNew YorkUSA
  2. 2.Department of Anesthesiology, Perioperative and Pain MedicineStanford University School of MedicineStanfordUSA
  3. 3.Divisions of Pain Medicine, Regional Anesthesia & Liver Transplant Anesthesia, Department of AnesthesiologyColumbia University College of Physicians and SurgeonsNew YorkUSA

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