Erector spinae plane block in laparoscopic nephrectomy as a cause of involuntary hemodynamic instability: A case report

Coviello, Antonio; Golino, Ludovica; Maresca, Alfredo; Vargas, Maria; Servillo, Giuseppe

doi:10.1002/ccr3.4026

Cited by 11 publications

(7 citation statements)

References 18 publications

(59 reference statements)

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“… 38 It must be remembered that sensory blocks, as well as fascia blocks, are not without complications. 39 In patients undergoing primary total knee implantation, a single-shot block in the context of multimodal analgesia is also optimal for pain management in the first 24 hours after surgery. 16 Neuromuscular diseases, such as multiple sclerosis, are not contraindications to loco-regional anesthesia.…”

Section: Discussionmentioning

confidence: 99%

The Twenty-Five Most Cited Articles About Adductor Canal Block: A Bibliometric Analysis from 1980 to 2022

Coviello,

Iacovazzo,

Cirillo

et al. 2023

JPR

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Loco-regional anesthesia role is increasingly important in surgery, especially in postoperative pain control. Using ultrasound-guided techniques has made the loco-regional approach increasingly safe and manageable, guaranteeing excellent analgesic results and patient compliance. This bibliometric research aimed to identify the most influential papers on the adductor canal blocks and outline their characteristics. Methods: All articles published from 1980 to 2022 were included in the Web of Science, PubMed, and Scopus databases and found using the keywords "Adductor canal block" or "Saphenous nerve block" or "Peripheral nerve block" or "Hunter canal block" or "Subsartorial canal block" or "ACB" or "Knee" or "TKR" or "TKA" or "Analgesia" or "Arthroplasty" or "Replacement" in the title section had bibliometric analysis performed. The first 25 papers were selected and analyzed by the number of citations. The correlation between numerical variables was evaluated using the Pearson Correlation coefficient. Results: Literature screening found 252 publications. One hundred ten were only about the adductor canal block. Of these, 25 articles were selected for our bibliometric study, published in 8 different journals and with a total number of citations equal to 1.457. "Regional Anesthesia and pain medicine" journal -with 9 articles -was the one that produced the most. There was a significant strong correlation between the n. of citations and the citation rate (R = 0.84, p < 0.001). Conclusion:The purpose of this study is to be a guide on regional anesthesia and, particularly, on adductor canal block, making the most effective as well as the most cited articles available to anesthesiologists or other researchers interested in this topic.

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Section: Discussionmentioning

confidence: 99%

The Twenty-Five Most Cited Articles About Adductor Canal Block: A Bibliometric Analysis from 1980 to 2022

Coviello,

Iacovazzo,

Cirillo

et al. 2023

JPR

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“…Although a Erector spinae block combined with lumbar plexus block, paravertebral block, and sacral plexus blocks with the support of sedoanalgesia could be performed in this case to minimize the risk of hemodynamic fluctuations and dural puncture related to NA, however the risk of local anesthetic toxicity would be effectively increased considering the total volume and dose administration. 16 , 17 , 18 Epidural anesthesia was therefore our choice because it may offer several advantages over SA and GA in patients with ACM‐1,5. These advantages include avoidance the risk of difficult intubation and unsuccessful airway protection, reduced incidence of hypotension and deterioration of autonomic neuropathy, and minimal change in intracranial pressure if the anesthetic is titrated gradually.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management in a patient with Arnold‐Chiari malformation type 1,5: A case report

Coviello

Golino

Posillipo

et al. 2022

Clinical Case Reports

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“…Schwartzmann[22] et al in an observational MRI study of local anesthetic (29.7mL 0.25% bupivacaine and 0.3mL gadolinium) in six pain patients, erector, spinal dorsal branch, intercostal space, and foramina, two of which spread to the epidural space. Another case report [23] found that the patient had T8 level ESPB and injected 0.5% ropivacaine 20ml. The patient developed severe hypotension and blocked segment T2-L5.The occurrence of intraoperative hypotension may be related to the extensive epidural spread of local anesthesia.Some studies have shown that the QLB-II block effect is less precise, rarely blocked to the thoracic paravertebral space,affected by large individual differences.In a study[24],three different approaches injected 0.375% ropivacaine in 18ml and 2mL contrast medium,then performed 3D computed tomography (3D-CT) to evaluate the distribution of the injection, which showed that only QLB-III occasionally spread to the thoracic side, whereas QLB-I and QLB-II only spread in the transverse fascia plane and posterior muscle.…”

Section: Disscussionmentioning

confidence: 99%

Comparison of ultrasound-guided erector spinal muscle plane block and quadratus block for laparoscopic renal cancer resection:A single-center,double-blind, randomized controlled trial

Zhang,

Zhao,

et al. 2024

Preprint

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Objective:This study investigated the effects of ultrasound-guided erector spinal muscle plane block (ESPB) and quadratus muscle block (QLB) on the quality of analgesia and recovery after laparoscopic nephrectomy.Design:randomized, controlled, double-blind study.Setting: A single tertiary care academic medical center,include anesthesia preparation room, operating room, anesthesia recovery room and ward.Patients:Aged 18-70years,ASA grades I-III,elective laparoscopic partial nephrectomy or radical nephrectomy and 54 patients were included in the statistical analysis.Interventions:All included patients were randomassigned to the erector spinal muscle plane block or the quadratus block,and all patients underwent morphine pump controlled analgesia.Results:The study found that ultrasound-guided ESPB had a higher incidence of hypotension than QLB at the T1 time point, but it did not significantly increase the intraoperative dose of the vasoactive drug used. Patients in the ESPB group showed significant improvement in resting NRS pain scores at 0.5h,number of morphine pumps at 6h and 24h, cumulative morphine equivalent consumed 6h after surgery, and QOR-15 score at 24 h after surgery, and shortened hospital stay.Conclusions:Compared with QLB,ESPB has certain advantages in analgesia and recovery quality after laparoscopic nephrectomy, and shows opioid frugality effect at individual postoperative time points.

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Erector spinae plane block in laparoscopic nephrectomy as a cause of involuntary hemodynamic instability: A case report

Cited by 11 publications

References 18 publications

The Twenty-Five Most Cited Articles About Adductor Canal Block: A Bibliometric Analysis from 1980 to 2022

The Twenty-Five Most Cited Articles About Adductor Canal Block: A Bibliometric Analysis from 1980 to 2022

Anesthetic management in a patient with Arnold‐Chiari malformation type 1,5: A case report

Comparison of ultrasound-guided erector spinal muscle plane block and quadratus block for laparoscopic renal cancer resection:A single-center,double-blind, randomized controlled trial

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