Postoperative Analgesia With Erector Spinae Plane Block After Pectus Excavatum Repair in Children

Abstract Background The appropriate choice of postoperative analgesia for pyothorax surgery is unclear since local infection could contaminate the catheter used for regional blocks and bacteremia can lead to disordered coagulation. We performed erector spinae plane block (ESPB) in a pyothorax patient undergoing emergency re-open thoracotomy. Case presentation An 81-year-old male with internal jugular vein stenosis on aspirin therapy was scheduled for pyothorax drainage and residual middle lobectomy 14 days after he underwent open right lower lung lobectomy for lung cancer. ESPB was performed with injection of 20 ml of 0.375% levobupivacaine at the Th5 transverse process of the right side under ultrasound guidance. Although he needed intravenous pentazocine for pain on postoperative day 0, no more analgesics were required postoperatively. NRS score ranged from 0 to 1 thereafter. Conclusions ESPB provided effective postoperative analgesia following emergency re-open thoracotomy for our pyothorax patient. ESPB might be the appropriate choice for postoperative analgesia following pyothorax surgery.

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Ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic liver resection

European Journal of Anaesthesiology ◽

10.1097/eja.0000000000001475 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Doyeon Kim ◽

Jong Man Kim ◽

Gyu-Seong Choi ◽

Gunyoung Heo ◽

Gaab Soo Kim ◽

...

Keyword(s):

Liver Resection ◽

Postoperative Analgesia ◽

Laparoscopic Liver Resection ◽

Erector Spinae ◽

Ultrasound Guided ◽

Erector Spinae Plane Block

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Erector Spinae Plane Block Versus Transversus Abdominis Plane Block for Postoperative Analgesia in Bariatric Surgery, Enhanced Recovery After Surgery Pathway

Bariatric Surgical Practice and Patient Care ◽

10.1089/bari.2020.0126 ◽

2021 ◽

Author(s):

Thierry Claude Bagaphou ◽

Domenico Pietro Santonastaso ◽

Michele Cianchella ◽

Alessandro Contine ◽

Saverio Valiani ◽

...

Keyword(s):

Bariatric Surgery ◽

Postoperative Analgesia ◽

Enhanced Recovery ◽

Enhanced Recovery After Surgery ◽

Transversus Abdominis Plane Block ◽

Erector Spinae ◽

Transversus Abdominis ◽

Transversus Abdominis Plane ◽

Erector Spinae Plane Block

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Epipleural surgical block and ultrasound-guided erector spinae plane block for analgesia in VATS

10.1510/mmcts.2021.031 ◽

2021 ◽

Keyword(s):

Postoperative Pain ◽

Thoracic Surgery ◽

Postoperative Analgesia ◽

Local Anesthetic ◽

Erector Spinae ◽

Ultrasound Guided ◽

Additional Method ◽

Video Tutorial ◽

Erector Spinae Plane Block ◽

Severe Postoperative Pain

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.

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