Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series

Tulgar, Serkan; Selvi, Onur; Kapaklı, Mahmut Sertan

doi:10.1155/2018/3947281

Cited by 60 publications

(72 citation statements)

References 9 publications

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“…The findings of our study are consistent with some studies [13][14][15] with different types of surgeries that demonstrated that duration of the analgesia after single shot ESPB was around 10 hours or more.…”

Section: Discussionsupporting

confidence: 93%

Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia

Elghamry

El-Gebaly

Anwar

et al. 2019

South Afr J Anaesth Analg

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Background: The article dealt with evaluating the efficacy of bilateral single shot ultrasound-guided (US-guided) lumbar erector spinae plane block (ESPB) in patients scheduled for L3-L5 posterior lumbar interbody fusion (PLIF) under general anaesthesia (GA). The primary goal of the article was to determine total morphine consumption 24 hours postoperative. Secondary goals included determining total intraoperative and postoperative opioid consumption, length of post-anaesthesia care unit (PACU) stay, and complications. Methods: Sixty patients, American Society of Anesthesiologists (ASA) I and II, aged 18–60 years, undergoing PLIF under GA were enrolled in this prospective, randomised, double-blinded study. Patients were randomised to 2 groups (30 patients each). Group I (control group) received GA only and group II received preoperative bilateral ESPB with 20 ml 0.25% bupivacaine. The primary outcome was postoperative morphine consumption. Secondary measurements were intraoperative fentanyl consumption, time to first analgesic request, static and dynamic visual analogue score (VAS), haemodynamic changes, PACU stay, and complications. Results: Patients who received ESPB showed a significant decrease in intraoperative and postoperative opioid consumption, shortened PACU stay, and haemodynamic stability compared to those who received GA only. Significant increase of VAS was observed in group I compared with group II up to 8 and 12 hours postoperative (static and dynamic VAS respectively). Conclusion: Preoperative bilateral single shot US-guided ESPB provided safe and effective postoperative analgesia for PLIF with reduced opioid consumption and short PACU stay.

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Section: Discussionsupporting

confidence: 93%

Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia

Elghamry

El-Gebaly

Anwar

et al. 2019

South Afr J Anaesth Analg

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“…Based on these principles, there is some evidence that the theoretical risk of clinically significant complications related to bleeding is low and is outweighed by the benefit observed in the patients described 10 . Recently, other authors have reported the efficacy and safety of ESP block for postoperative pain control in breast surgery 11 , thoracotomy 12 , abdominal surgery 13 and even spine fusions 14 in case reports, but to our knowledge, there are no reports for aortic valve replacement surgery.…”

Section: Discussionmentioning

confidence: 98%

Erector spinae plane block for perioperative analgesia in cardiac surgery. Case report

Nakamura

Machado

Novais

2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:The anesthetic management has evolved with the use of alternative techniques that promote greater safety, quick recovery and comfort in the perioperative period. The erector spinae plane block emerges as a promising alternative that can be employed as a simple analgesic technique for thoracic analgesia, acute post-surgical, post-traumatic and chronic neuropathic thoracic pain. CASE REPORT: Female patient, 72-year-old, undergoing aortic valve replacement surgery under general anesthesia associated with an erector spinae plane block as a technique for perioperative pain management. CONCLUSION: We demonstrate with this case report that the erector spinae plane block can be a suitable option as a regional analgesia technique for cardiac surgery, used perioperatively as a regional block for multimodal analgesia. Further research and studies are needed to address its efficacy and safety for multiple cardiac and aortic surgery techniques. Keywords: Erector spinae plane block, Fast-track, Enhanced recovery after surgery. RESUMO JUSTIFICATIVA E OBJETIVOS:O manuseio anestésico evoluiu com o uso de técnicas alternativas que promovem maior segurança, rápida recuperação e conforto no período perioperatório. O bloqueio do plano eretor espinhal surge como uma alternativa promissora que pode ser empregada como uma técnica analgésica simples para analgesia torácica, dor torácica aguda pós-cirúrgica, pós-traumática e crônica neuropática. RELATO DO CASO: Paciente do sexo feminino, 72 anos, submetida à cirurgia de troca valvar aórtica sob anestesia geral asso-© Sociedade Brasileira para o Estudo da Dor ciada ao bloqueio do plano eretor espinhal, como técnica para o manuseio da dor no período perioperatório. CONCLUSÃO: O presente relato demonstrou que o bloqueio do plano eretor espinhal pode ser uma opção adequada como uma técnica de analgesia regional para cirurgia cardíaca, usada no perioperatório como um bloqueio regional para analgesia multimodal. Mais pesquisas e estudos são necessários para abordar sua eficácia e segurança para múltiplas técnicas de cirurgia cardíaca e aórtica. Descritores: Bloqueio do plano eretor espinhal, Fast-track, Recuperação aprimorada após a cirurgia.Erector spinae plane block for perioperative analgesia in cardiac surgery. Case report Br J Pain. São Paulo, 2018 oct-dec;1(4):369-71

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“…When performed between T7-T9 levels, it has been reported to effectively attenuate postoperative pain after different types of abdominal surgeries. [6] Recently, Tulgar et al [7] evaluated the effect of US-ESP for postoperative analgesia in laparoscopic cholecystectomy. Authors reported that US-ESP block significantly reduced pain scores of patients when compared to no-intervention group.…”

Section: Discussionmentioning

confidence: 99%

Erector Spinae Plane Block for anesthesia of open ventral hernia repair in severe Ankylosing Spondylitis

Altıparmak¹

2019

Agri

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ÖzetAnkilozan spondilit, havayolu ve aksiyel iskelet tutulumu nedeniyle anestezistler açısından zorlu bir hastalıktır. Ciddi ankilozan spondilit yakınması olan 55 yaşındaki bir erkek hasta Anesteziyoloji kliniğine başvurdu. Orta hat açık ventral herni onarımı planlanmıştı. Ameliyatın tam anestezisi için 4 mcg kg-1 saat-1dexmedetomidine sedasyonu ile birlikte T8 seviyesinden bilateral ultrason rehberlikli erektor spina alan (ESP) bloğu yapmaya karar verdik. ESP bloğunu 25 ml %0.25 bupivakain ile yaptık ve aynı işlemi karşı tarafta tekrar ettik. Yirmibeş dakika sonra cilt insizyonu başladı. Operasyon boyunca ek bir anestezik veya analjezik ajan uygulamaya gerek duymadık. ESP bloğu, enjeksiyon seviyesine göre spinal sinirlerde ventral rami ve komünikan ramiyi etkileyerek, farklı dermatomlarda analjezi sağlar. T7-T9 seviyeleri arasından uygulandığında, farklı tipte ameliyatlardan sonra etkili şekilde postoperatif ağrıyı azalttığı bildirilmiştir. Anahtar sözcükler: Anestezi; ankilozan spondilit; erektor spina alan bloğu; ultrason; ventral herni tamiri. SummaryAnkylosing spondylitis is a challenging disease for anesthesiologist due its airway and axial skeleton involvement. A 55 years old male patient suffering from severe ankylosing spondylitis, admitted to Anesthesiology Clinic. He was planned to receive a midline open ventral hernia repair. We decided to perform bilateral ultrasound-guided erector spinae plane (ESP) block at the level of T8 with 0.4 mcg kg-1 hour-1 dexmedetomidine sedation for complete anesthesia of the surgery. We performed ESP block with 25 mL of 0.25% bupivacaine and repeated the same procedure at the contralateral side. Twenty minutes later, the skin incision was started. We didn't need to apply an additive anesthetic or analgesic drug throughout the surgery. ESP block provides analgesia for different dermatomes by effecting ventral rami and rami communicantes of spinal nerves depending on the level of injection site. When performed between T7-T9 levels, it has been reported to effectively attenuate postoperative pain after different types of surgeries.

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Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series

Cited by 60 publications

References 9 publications

Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia

Ultrasound-guided erector spinae plane block for acute pain management in patients undergoing posterior lumbar interbody fusion under general anaesthesia

Erector spinae plane block for perioperative analgesia in cardiac surgery. Case report

Erector Spinae Plane Block for anesthesia of open ventral hernia repair in severe Ankylosing Spondylitis

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