Erector spinae plane block for abdominal cancer pain: a case report of effective management

2020 ◽  
Vol 86 (12) ◽  
Author(s):  
Dario Bugada ◽  
Alberto G. Zarcone
Author(s):  
A Nailufar ◽  
R Muji Laksono ◽  
T Agus Siswagama ◽  
A Andyk Asmoro ◽  
D Rahmat Basuki ◽  
...  

Author(s):  
Guillermo Eduardo Aréchiga-Ornelas ◽  
Jorge Alberto Ramos-Guerrero ◽  
Pablo Humberto Bueno-Acosta ◽  
Mariel Del Río-Parra ◽  
Oscar Sotelo-Rosero ◽  
...  

The advent of the erector spinae plane block brought about new therapeutic options as part of a multimodal analgesia strategy, as evidenced in this case, which describes a five-year old pre-school patient who presented with severe abdominal cancer pain, secondary to an abdominal neuroblastoma, with partial high-dose opioid response, undergoing bilateral erector spinal plane block. The technique used did not give rise to complications and proved to be effective in blocking pain and reducing the dose of opioids 36 hours after the procedure. The paper discusses the variables involved in the mode of administration (continuous infusion vs. bolus) and the benefit for optimal analgesia in the pediatric oncology setting.


2021 ◽  
pp. 030089162110058
Author(s):  
Edoardo Ceraolo ◽  
Eleonora Balzani ◽  
Giulio Luca Rosboch ◽  
Francesco Guerrera ◽  
Paraskevas Lyberis ◽  
...  

Background: Erector spinae plane block (ESPB) has been described as an effective regional anesthesia technique in thoracic parenchymal surgery. Evidence highlighting the use of this technique continuously via perifascial catheter is lacking. Case presentation: In this case report, we present the case of a patient scheduled for robotic-assisted thoracic surgery for a pulmonary neoformation in the lower right lobe. We decided to manage this patient with a multimodal approach in order to have an opioid-sparing effect. This is the first reported case of continuous ESPB in robot-assisted thoracic surgery. Conclusions: Anesthesiologists should consider this method in surgery that is slower than conventional surgery, such as robot-assisted, and less invasive than thoracotomy, which does not warrant the use of neuroaxial or paravertebral techniques that increase the risk of iatrogenic complications.


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