scholarly journals Effect of erector spinae plane block for rib fractures on postoperative analgesia for elbow surgery: A case report

2020 ◽  
Vol 5 (3) ◽  
pp. 1255-1257
Author(s):  
Prajjwal Raj Bhattarai ◽  
Achyut Sharma ◽  
Rinku Sharma ◽  
Apurb Sharma

The erector spinae plane block is an emerging technique for analgesia. It has shown to provide reliable analgesia in abdominal and thoracic surgery.  Erector spinae plane block may be efficacious for analgesia of pain in the upper limb. The advantage of this modality would be in a patient with polytrauma with rib fractures and upper limb fracture/injury as it assists in the physiotherapy of the chest and upper limb.

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.


2021 ◽  

Thoracic surgery is still associated with severe postoperative pain. In this video tutorial, we present 2 techniques that could be used as an additional method in a multimodal postoperative analgesia strategy for video-assisted thoracic surgery. We present the combination of an epipleural surgical infiltration of a local anesthetic with an ultrasound-guided erector spinae plane block.


2018 ◽  
Vol Volume 11 ◽  
pp. 1983-1990 ◽  
Author(s):  
Dimosthenis Petsas ◽  
Valentini Pogiatzi ◽  
Thanasis Galatidis ◽  
Maria Drogouti ◽  
Iliana Sofianou ◽  
...  

2021 ◽  
Author(s):  
Erica Langnas ◽  
Andrew Gray ◽  
Matthias Braehler

Abstract Background: Above the knee amputations (AKA) are common surgeries that frequently use neuraxial or peripheral nerve blocking techniques for both intraoperative and postoperative analgesia. It is not uncommon that patients present with contraindications to neuraxial anesthesia. Case presentation: We identified a relatively novel use of erector spinae plane block (ESP) for above the knee amputation that allows for adequate pain control postoperatively when there are contraindications for neuraxial. Conclusion: While data on ESP at the thoracic level is well described, less is known about the expected coverage for lumbar ESP. This case suggests that at the level of L3 there is sufficient dermatomal spread for an AKA.


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