Lumbar erector spinae plane block for postoperative analgesia after nephrectomy followed by emergent complication surgery

Cantürk, Mehmet

doi:10.23736/s0375-9393.19.13663-2

Cited by 12 publications

(11 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only a few case reports have reported sensorial findings after lumbar ESPB. 8,17,23,25,28,30,[35][36][37][38][39][40][41][42][43][44][45][46][47] Spread of LA between T12 and S1 dermatomes were reported when 30-40 mL of LA was used, 28 with similar findings for the lower volume of 20 mL also reported. 30,38 Low volume injections have generally been utilized in back pain and spinal surgeries.…”

Section: Evaluation Of Sensorial Blocksupporting

confidence: 54%

See 1 more Smart Citation

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

Tulgar¹,

Aydın²,

Ahıskalıoğlu³

et al. 2020

LRA

View full text Add to dashboard Cite

Defined in the last decade, erector spinae plane block (ESPB) is one of the more frequently used interfacial plans, and it has been the most discussed block among the recently defined techniques. Lumbar ESPB administered at lumbar levels is relatively novel and is a new horizon for regional anesthesia and pain practice. In this article, we aim to explain and introduce different approaches and explain the possible mechanism of action of lumbar ESPB. The objective of this review is to analyze the case reports, clinical and cadaveric studies about lumbar ESPB that have been published to date. We performed a search in "Pubmed" and "Google Scholar" database. After a selection of the relevant studies, 59 articles were found eligible and were included in this review. While we believe that lumbar ESPB is reliable and easy, we suggest that its efficacy and indications should be verified with anatomical and clinical studies, and its safety should be confirmed with pharmacokinetic studies. Moreover, the possibility of complications must be considered.

show abstract

Section: Evaluation Of Sensorial Blocksupporting

confidence: 54%

“…Abdominal surgeries: unilateral or bilateral application for many indications such as inguinal hernia and other abdominal area surgeries (L1), 56 iliac crest autograft (L1-2), 26,57 nephrectomy (L2) 41 and Pfannenstiel incisions (L-2) 42 have been reported. The stated levels indicate the authors' preferences.…”

Section: Postoperative Analgesiamentioning

confidence: 99%

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

Tulgar¹,

Aydın²,

Ahıskalıoğlu³

et al. 2020

LRA

View full text Add to dashboard Cite

show abstract

“…Furthermore, the NRS scores did not change even after the same patient underwent a revision operation due to bleeding. 18 …”

Section: Discussionmentioning

confidence: 99%

Effect of ultrasound-guided erector spinae plane block on post-surgical pain in patients undergoing nephrectomy: a single-center, randomized, double-blind, controlled trial

Şahin

Baran

2022

J Int Med Res

View full text Add to dashboard Cite

Objective Erector spinae plane (ESP) block is an alternative to neuraxial block for post-surgical pain in nephrectomy patients. However, no clinical trial has directly compared ESP block with a control group. Methods In a single-center, double-blind randomized comparative trial, patients undergoing nephrectomy with a subcostal flank incision under general anesthesia were divided into the following two groups: ESP block group (ESP block before anesthesia) and non-ESP (control) group (no intervention). The primary outcome measure was pain score (Numeric Rating Scale [NRS] 0 to 10). Secondary outcomes were postoperative opiate use, anesthetic and surgical complications, length of hospital stay, and patient-reported outcomes. Results Postoperatively (0 to 24 hours), the ESP block group experienced less pain and had lower NRS pain scores 0 to 24 hours postoperatively than the non-ESP group. Opioid consumption and the number of rescue analgesic doses decreased significantly in the ESP group compared with the non-ESP group. Patient-Reported Outcomes Information System (Quality of Recovery-15) scores significantly improved in the ESP group compared with the non-ESP block group. Conclusions Patients receiving an ESP block for intraoperative and postoperative analgesia during radical nephrectomies experienced less postoperative pain 0 to 24 hours compared with the non-ESP group.

show abstract

“…A few case reports have shown that erector spinae plane block (ESPB) is an effective block during nephrectomy [8,9]. In these block procedures, local anesthetic diffusion is an important effect-determining factor.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic management using a combination of anterior quadratus lumborum block and erector spinae plane block for robot-assisted partial nephrectomy: two case reports

et al. 2020

View full text Add to dashboard Cite

Background: There has been increasing attention regarding quadratus lumborum block (QLB) and erector spinae plane block (ESPB) as effective truncal blocks. There have been reports of combined QLB and ESPB usage in hip surgery resulting in a symbiotic increase in effectiveness. However, there have been no reports regarding robotassisted partial nephrectomy (RAPN), which requires multiple port holes ranging from near the xiphoid process to below the umbilicus. We hypothesized that the combined use of QLB and ESPB was an option for anesthesia and analgesia during RAPN. Case presentation: Anterior QLB and ESPB were applied to two patients undergoing scheduled RAPN. With intravenous patient-controlled analgesia, the post-surgery numerical rating scale scores were < 3/10 at rest and < 5/10 upon movement, throughout the perioperative time. Conclusions: The combination of QLB and ESPB could be an option for the postoperative analgesia in RAPN.

show abstract

Lumbar erector spinae plane block for postoperative analgesia after nephrectomy followed by emergent complication surgery

Cited by 12 publications

References 4 publications

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

Effect of ultrasound-guided erector spinae plane block on post-surgical pain in patients undergoing nephrectomy: a single-center, randomized, double-blind, controlled trial

Anesthetic management using a combination of anterior quadratus lumborum block and erector spinae plane block for robot-assisted partial nephrectomy: two case reports

Contact Info

Product

Resources

About