Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 13 , ISSUE 2 ( May-August, 2024 ) > List of Articles

CASE REPORT

A Sole Erector Spinae Block in the Patient Posted for Thoracotomy: A Case Report

Krishna PT, Syed Najeebullah Khadri, Dhanush Anand, K Soundarya Priyadharsini

Keywords : Case report, Erector spinae block, Pleural effusion, Thoracotomy, Ultrasound-guided

Citation Information : PT K, Khadri SN, Anand D, Priyadharsini KS. A Sole Erector Spinae Block in the Patient Posted for Thoracotomy: A Case Report. Panam J Trauma Crit Care Emerg Surg 2024; 13 (2):100-102.

DOI: 10.5005/jp-journals-10030-1455

License: CC BY-NC 4.0

Published Online: 20-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

The erector spinae block can be injected once or continuously using a catheter. The procedure is quite simple to carry out in the preoperative area, and it can be done with little to no sedation. One of the most painful surgical operations is a thoracotomy, and all anesthesiologists must provide appropriate analgesia. Ineffective pain management hampers deep breathing, coughing, and remobilization, leading to atelectasis. First-line treatments for pain after thoracotomy include thoracic paravertebral block (TPVB) and thoracic epidural analgesia (TEA). However, implementing TEA is difficult and has a high failure rate. We used the simple tool visual analog scale (VAS) scores to assess the quality of the block, which were assessed and maintained for 24 hours. We are happy to announce that the single-shot erector spinae plane (ESP) block guided by ultrasound effectively relieved pain after thoracotomy surgery while also reducing the amount of narcotics used.


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