Ultrasound-guided erector spinae plane block for postoperative analgesia in patients undergoing various types of surgery
Ultrasound-guided erector spinae plane block for postoperative analgesia in patients undergoing various types of surgery
Ultrasound-guided erector spinae plane (ESP) block is regional anesthesia technique for the management of thoracic and abdominal neuropathic pain. ESP block may also be a good option to provide postoperative analgesia. In this case report, we describe our experiences of ESP block used for postoperative analgesia in three patients undergoing laparoscopic-assisted percutaneous nephrolithotomy (PCNL), laparoscopic-assisted total abdominal hysterectomy (TAH), and a unilateral total mastectomy. In all three patients, ESP block provided effective analgesia and increased patient satisfaction according to their pain management scores (numerical rating scale [NRS]).
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- 1. Forero M, Adhikary SD, Lopez H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41:621-7.
- 2. Kim E, Kwon W, Oh S, Bang S. The Erector Spinae Plane Block for Postoperative Analgesia after Percutaneous Nephrolithotomy. Chin Med J. 2018;131:1877-8.
- 3. Restrepo‑Garces CE, Chin KJ, Suarez P, Diaz A. Bilateral continuous erector spinae plane block contributes to effective postoperative analgesia after major open abdominal surgery: A case report. A A Case Rep. 2017;9:319‑21.
- 4. Chin KJ, Malhas L, Perlas A. The erector spinae plane block provides visceral abdominal analgesia in bariatric surgery a report of 3 cases. Reg Anesth Pain Med. 2017;42:372-6.
- 5. Bonvicini D, Tagliapietra L, Giacomazzi A, Pizzirani E. Bilateral ultrasoundguided erector spinae plane blocks in breast cancer and reconstruction surgery. J Clin Anesth. 2018;44:3-4.
- 6. Ak K, Gursoy S, Duger C, et al. Thoracic paravertebral block for postoperative pain management in percutaneous nephrolithotomy patients: A randomized controlled clinical trial. Med Princ Pract. 2013;22:229‑33.
- 7. Choi SW, Cho SJ, Moon HW, et al. Effect of intercostal nerve block and nephrostomy tract infiltration with ropivacaine on postoperative pain control after tubeless percutaneous nephrolithotomy: A prospective, randomized, and case‑controlled trial. Urology. 2018;114:49‑55.
- 8. Liu Y, Yu X, Sun X, et al. Paravertebral block for surgical anesthesia of percutaneous nephrolithotomy: Care‑compliant 3 case reports. Medicine (Baltimore). 2016;95:e4156.
- 9. Kumar A, Hulsey A, Martinez-Wilson H, et al The use of liposomal bupivacaine in erector spinae plane block to minimize opioid consumption for breast surgery: a case report. A A Pract. 2018;10:239-41.