scholarly journals Ultrasound-guided lumbar ESP block for post-operative analgesia as an alternative mode of analgesia in hip arthroplasty with multiple systemic issues: a case report

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Omer Mohammed Mujahid ◽  
Samarjit Dey ◽  
Suresh Nagalikar ◽  
Prateek Arora ◽  
Chandan Kumar Dey
Keyword(s):  
Hip Arthroplasty ◽  
Erector Spinae ◽  
Single Shot ◽  
Systemic Diseases ◽  
Ultrasound Guided ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Alternative Mode ◽  
Neuraxial Blockade ◽  
Erector Spinae Plane Block

Abstract Background Patients with multiple systemic diseases present an anaesthetic challenge in terms of perioperative pain management. We propose that ultrasound-guided erector spinae plane block be used as an alternative mode of analgesia in patients undergoing hip arthroplasty. Case presentation We report a case of a 54-year-old female, a known case of autosomal dominant polycystic kidney disease on continuous ambulatory peritoneal dialysis, hypertension, and deranged coagulation profile with fractured neck of femur planned for hemiarthroplasty. She was administered ultrasound-guided single-shot erector spinae plane block at L3 level with 20 mL of 0.25% ropivacaine and 4 mg dexamethasone. This block provided excellent post-operative analgesia for up to 24 h with early mobilisation. Conclusion Single-shot ultrasound-guided erector spinae plane bock can be used as an alternative mode of analgesia in patients undergoing hip arthroplasty, with multiple systemic diseases in whom neuraxial blockade cannot be performed. This technique needs to be further explored in the form of randomised controlled trials.

scholarly journals Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia

2019 ◽  
Vol 25 (6) ◽  
pp. 26-31
Author(s):  
MR El Ghamry ◽  
AS Elgebaly ◽  
AG Anwar ◽  
MN Shaddad
Keyword(s):  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Opioid Consumption ◽  
Erector Spinae ◽  
Single Shot ◽  
Lumbar Interbody Fusion ◽  
Ultrasound Guided ◽  
Erector Spinae Plane Block ◽  
Group I ◽  
Pacu Stay

Background: The article dealt with evaluating the efficacy of bilateral single shot ultrasound-guided (US-guided) lumbar erector spinae plane block (ESPB) in patients scheduled for L3-L5 posterior lumbar interbody fusion (PLIF) under general anaesthesia (GA). The primary goal of the article was to determine total morphine consumption 24 hours postoperative. Secondary goals included determining total intraoperative and postoperative opioid consumption, length of post-anaesthesia care unit (PACU) stay, and complications. Methods: Sixty patients, American Society of Anesthesiologists (ASA) I and II, aged 18–60 years, undergoing PLIF under GA were enrolled in this prospective, randomised, double-blinded study. Patients were randomised to 2 groups (30 patients each). Group I (control group) received GA only and group II received preoperative bilateral ESPB with 20 ml 0.25% bupivacaine. The primary outcome was postoperative morphine consumption. Secondary measurements were intraoperative fentanyl consumption, time to first analgesic request, static and dynamic visual analogue score (VAS), haemodynamic changes, PACU stay, and complications. Results: Patients who received ESPB showed a significant decrease in intraoperative and postoperative opioid consumption, shortened PACU stay, and haemodynamic stability compared to those who received GA only. Significant increase of VAS was observed in group I compared with group II up to 8 and 12 hours postoperative (static and dynamic VAS respectively). Conclusion: Preoperative bilateral single shot US-guided ESPB provided safe and effective postoperative analgesia for PLIF with reduced opioid consumption and short PACU stay.

scholarly journals Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia

2019 ◽  
Vol 25 (6) ◽  
pp. 26-31 ◽  
Author(s):  
MR El Ghamry ◽  
AS Elgebaly ◽  
AG Anwar ◽  
MN Shaddad
Keyword(s):  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Opioid Consumption ◽  
Erector Spinae ◽  
Single Shot ◽  
Lumbar Interbody Fusion ◽  
Ultrasound Guided ◽  
Erector Spinae Plane Block ◽  
Group I ◽  
Pacu Stay

Background: The article dealt with evaluating the efficacy of bilateral single shot ultrasound-guided (US guided) lumbar erector spinae plane block (ESPB) in patients scheduled for L3-L5 posterior lumbar interbody fusion (PLIF) under general anaesthesia (GA). The primary goal of the article was to determine total morphine consumption 24 hours postoperative. Secondary goals included determining total intraoperative and postoperative opioid consumption, length of post-anaesthesia care unit (PACU) stay, and complications. Methods: Sixty patients, American Society of Anesthesiologists (ASA) I and II, aged 18–60 years, undergoing PLIF under GA were enrolled in this prospective, randomised, double-blinded study. Patients were randomised to 2 groups (30 patients each). Group I (control group) received GA only and group II received preoperative bilateral ESPB with 20 ml 0.25% bupivacaine. The primary outcome was postoperative morphine consumption. Secondary measurements were intraoperative fentanyl consumption, time to first analgesic request, static and dynamic visual analogue score (VAS), haemodynamic changes, PACU stay, and complications. Results: Patients who received ESPB showed a significant decrease in intraoperative and postoperative opioid consumption, shortened PACU stay, and haemodynamic stability compared to those who received GA only. Significant increase of VAS was observed in group I compared with group II up to 8 and 12 hours postoperative (static and dynamic VAS respectively). Conclusion: Preoperative bilateral single shot US-guided ESPB provided safe and effective postoperative analgesia for PLIF with reduced opioid consumption and short PACU stay.

Ultrasound-guided erector spinae plane block and dexmedetomidine cooperative sedation for non-intubated chest wall surgery

2019 ◽  
Vol 85 (12) ◽  
Author(s):  
Selene Ranocchia ◽  
Paolo Scimia ◽  
Carolina Giordano ◽  
Vinicio Danzi ◽  
Elena Bignami
Keyword(s):  
Chest Wall ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Erector Spinae Plane Block
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