scholarly journals New method of performing erector spine plane block for treatment of pain syndrome

2021 ◽  
Vol 17 (8) ◽  
pp. 84-89
Author(s):  
M.M. Barsa ◽  
O.V. Filyk
Keyword(s):  
Regional Anesthesia ◽  
Digital Radiography ◽  
Pain Treatment ◽  
Pain Syndrome ◽  
Metal Structure ◽  
The Body ◽  
Erector Spinae ◽  
Anatomical Landmarks ◽  
Erector Spinae Plane Block ◽  
Therapeutic Exercises

Background. Osteochondrosis is one of the most common causes of pain in back and extremities. Treatment methods range from therapeutic exercises and massage to complex transpedicular spine fixations with decompression of the spinal cord and its roots. In the most difficult cases, despite adequate surgery, pain might return with no less intensity. The purpose was to describe a clinical case of pain treatment in a patient with generalized osteochondrosis accompanied by a postoperative surgery muscular-tonic syndrome. Results. Chronic pain could not be controlled with nonsteroidal anti-inflammatory drugs and pregabalin, however, it was effectively relieved using the technique of regional anesthesia, erector spinae plane block. The main difficulty and danger of the blockade was that if the patient already had metal structure in the body this might have changed anatomical landmarks, and metal itself scattered ultrasound rays in such way that the picture on ultrasound monitor was not good enough to safely and effectively perform regional anesthesia. Therefore, erector spinae plane block was performed under the control of digital radiography. Conclusions. Erector spine plane block can be used to treat severe pain regardless of its etiology. The use of digital radiography to perform blockade can be an alternative technique if ultrasound imaging is technically difficult or impossible due to different reasons.

Postoperative Thoracic Pain Treatment: Serratus Anterior or Erector Spinae Plane Block?

2020 ◽  
Author(s):  
Ayşe Ülgey ◽  
Sibel Seçkin Pehlivan ◽  
Ömer Faruk Demir
Keyword(s):  
Pain Management ◽  
Thoracic Surgery ◽  
Pain Treatment ◽  
Postoperative Pain Management ◽  
Erector Spinae ◽  
Morphine Consumption ◽  
Serratus Anterior ◽  
Thoracic Pain ◽  
Erector Spinae Plane Block ◽  
Pca Method

Abstract Background Thoracic surgery is one of the most painful surgeries. Effective analgesia is important in postoperative pain management. In this study, we aimed to compare the two new fascial block techniques. Methods A total of 107 patients who underwent thoracic surgery between October 2018 and November 2019 were retrospectively evaluated. The study included 59 patients in the serratus anterior plane block (SAPB) group and 48 patients in the erector spinae plane block (ESPB) group. Both groups were administered 30 mL of 0.25% bupivacaine and their morphine consumption was evaluated by a patient-controlled analgesia (PCA) method during the 2nd, 6th, 12th, 24th, and 48th postoperative hours. Pain was measured with the visual analog scale (VAS). Intraoperative mean arterial pressure (MAP) and heart rate (HR) were recorded. Results During the first 24 hours, VAS values were significantly lower in the ESPB group (p < 0.05). Moreover, morphine consumption was significantly lower in the ESPB group in the 24th and 48th hours (p < 0.05). Intraoperative remifentanil consumption was also significantly lower in the ESPB group (p < 0.05). Intraoperative MAP in the ESPB group was found to be significantly lower after the 4th hour. HR was similar in both groups. Conclusion ESPB was more effective compared with SAPB in postoperative thoracic pain management.

Priapism following erector spinae plane block for the treatment of a complex regional pain syndrome

2019 ◽  
Vol 37 (4) ◽  
pp. 796.e3-796.e4 ◽  
Author(s):  
Abdelghafour Elkoundi ◽  
Zakarya Eloukkal ◽  
Mustapha Bensghir ◽  
Lahcen Belyamani
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Erector Spinae ◽  
Erector Spinae Plane Block

Ultrasound-guided erector spinae block for post-thoracotomy pain syndrome in video-assisted thoracic surgery

2020 ◽  
Vol 106 (6) ◽  
pp. NP46-NP48
Author(s):  
Emanuele Piraccini ◽  
Giulia Biondi ◽  
Eleonora De Lorenzo ◽  
Ruggero M. Corso ◽  
Stefano Maitan
Keyword(s):  
Thoracic Surgery ◽  
Treatment Period ◽  
Local Anesthetic ◽  
Pain Syndrome ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Erector Spinae Plane Block ◽  
Pain Scores

This article describes our experience with 5 patients with post-thoracotomy pain syndrome after video-assisted thoracoscopic lobectomies, treated with weekly erector spinae plane block. We injected corticosteroid and local anesthetic. At the end of the treatment period, pain scores decreased significantly. Our experience suggests that erector spinae plane block may have a role in the treatment of post-thoracoscopy pain syndrome.

scholarly journals Erector spinae plane block and rhomboid intercostal block for the treatment of post-mastectomy pain syndrome

2020 ◽  
Vol 14 (4) ◽  
pp. 517 ◽  
Author(s):  
Emanuele Piraccini ◽  
Morena Calli ◽  
Stefania Taddei ◽  
Stefano Maitan
Keyword(s):  
Pain Syndrome ◽  
Erector Spinae ◽  
Erector Spinae Plane Block ◽  
Intercostal Block

scholarly journals Idiopathic scoliosis. Mechanisms of development

2021 ◽  
Vol 8 (11) ◽  
pp. 628-635
Author(s):  
Late Serdyuk Valentyn Viktorovich ◽  
Serdiuk Oleksandr Valentinovich ◽  
Grigory Tishkin
Keyword(s):  
Idiopathic Scoliosis ◽  
Pain Syndrome ◽  
Spinal Pain ◽  
Ethnic Origin ◽  
Intervertebral Discs ◽  
The Body ◽  
Erector Spinae ◽  
Lateral Spine ◽  
The Right ◽  
Spinal Pain Syndrome

Objective: One of the most complicated problems of Orthopaedics is the treatment of scoliosis. More than 90% of cases are attributable to Idiopathic deformation, the cause of which is unknown. We investigated the cause of pathogenesis of this disorder. Methods: At our institution more than 6900 patients aged 1-89 years have undergone inpatient and outpatient treatment in connection with spinal pain syndrome and different neurological disorders associated with idiopathic scoliosis. This study was undertaken between February 1996 and February 2010.  All patients had a clinical, radiography and laboratory examinations. Results: The 29.6% of patients were aged 31-50 years old. 60% were men and 40% were women. While examining patients with scoliosis deformation, we noted symptoms of body asymmetry i.e. different volumes of the right and left halves of face body and limbs. These features were typical for all patients irrespective of sex, age, and ethnic origin. 83,2% of patients had underdevelopment of the left part of the body, and only 16,8% of the right side. Analysis of published work in anatomy, physiology, neurophysiology, vertebrology, done simultaneously with analysis of the clinical material, allowed us to make some conclusions. Conclusions: First asymmetrical structure of the human body is based on laws of nature and is linked with difference of sizes of brain’s hemispheres, particularly of the right and left gyrus centralis anterior which controls the muscle’s function and our movements. Second asymmetrical tension of Erector spinae muscles, leads to inclination of the pelvis on a side of weak muscles; thus initiating development of the lateral spine curves. Since such a situation is typical for all people, this deformation is known as functional scoliosis. Third, further development of the bodies of vertebrae, their arches, processes, intervertebral discs, ligaments, and other anatomical elements in position of the deviation leads to one sided underdevelopment of these structures. As a result the areas of instability appear in each segment of spine ( neck, chest, lumbar and sacral areas ). Fourth, the  muscles in a growing body misbalance and on the ground of rotating movement, start rotatory dislocation of vertebrae in zones of instability in all parts of the spine. As a result torsion of the deformed wedge-shaped vertebrae leads to formation of the structural scoliosis. The rotation of the vertebrae, described above, does not depend on sex, age and ethnic origin of the patient and has a character of the natural development. Thus from our point of view, the term idiopathic scoliosis, must be changed to spinal muscle asymmetrical deformation of a reflex origin. Understanding of this rotation allowed us to establish an effective non-surgical method of treatment of scoliosis and spinal pain syndrome in patients of all ages.

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