Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

“…29,30 A case series of catheter use in bilateral ESPB in children with programmed intermittent bolus application, as well as continuous or intermittent bolus applications of local anesthesia via catheter for thoracotomy-esophagectomy, laparoscopic gastric surgeries, open abdominal surgeries, radical prostatectomy, and lumbosacral surgeries leading to effective postoperative analgesia, have been reported in the literature. 6,[31][32][33][34][35][36][37] While single-sided lumbar catheterization has been reported, to our knowledge there have been no reports of bilateral lumbar catheterization. 38 Reports of catheterization and features associated with it, such as local anesthetic concentration, infusion speed, or time between boluses and initial dosage, are all based on the authors' personal experience.…”

“…It was first reported for postoperative analgesia requirements in chest-wall deformities, such as funnel chest and pectus carinatum, and thereafter in more complicated procedures, such as video-assisted thoracotomy surgery, thoracostomy, and thoracotomy with esophagectomy. 8,34,35,37,47,48 There have been both case reports and clinical studies of bilateral ESPB used in cardiovascular surgeries. Bilateral ESPB led to requirement of no analgesia for the first 9 hours following aortic valve-replacement surgery.…”

“…While there have not been any clinical studies comparing the effect of bilateral ESPB with other modalities, case reports of bilateral ESPB used for successful postoperative analgesia are available for gastric surgeries, incisional and ventral hernias, living-donor liver transplantations, pancreas and gallbladder-choleduct surgeries, open colon surgeries, emergency ileus surgeries, radical prostatectomy and cystoprostatectomy, pyeloplasty, and many other upper or lower abdominal surgical procedures. [33][34][35][36][37][54][55][56][57][58] Its effectiveness for postoperative analgesia has also been reported in cesarean sections. 28,59,60 Laparoscopic abdominal surgeries…”

“…Sometimes, a wider range of dermatomal sensorial block can be observed with small volumes compared to larger volumes and sometimes differing sensorial blocks can be reported even when the same volume of injectant is used at the same level. 6,35,47 Due to this discrepancy, it is difficult to accurately determine the required volume and level of ESPB block according to the size and incision site of the surgical procedure. These cases will appear in the literature as block failure of lack of efficiency.…”

Minimally Invasive Esophagectomy In the Modern Era: Is Regional Anesthesia Still the Answer?

“…16,32,33 The use of erector spinae plane blocks in both thoracic and more recently epigastric surgery may prove applicable to esophagectomy as well. 34,35 De Cassai et al reported a single case report of open esophagectomy in which 3 erector spinae plane blocks were able to cover the required thoracic and abdominal regions. 34 Finally, the serratus anterior fascial plane block was reported in a case series of 37 MIE patients, with contraindications for TEA or unplanned conversion to thoracotomy with laparoscopy, in which the authors reported only limited rescue opioids required for pain control.…”