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.
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.
Sobhy MG, Abd El-Hamid AM, Elbarbary DH, et al. Ultrasound-guided erector spinae block for postoperative analgesia in thoracotomy patients: a prospective, randomized, observer-blind, controlled clinical trial. Ain Shams J Anesthesiol 2020;12(1):1–7. DOI: 10.1186/s42077-020-00083-w
Mesbah A, Yeung J, Gao F. Pain after thoracotomy. BJA Education 2016;16(1):1–7. DOI: 10.1093/bjaceaccp/mkv005
Chin KJ, Lewis S. Opioid-free analgesia for posterior spinal fusion surgery using erector spinae plane (ESP) blocks in a multimodal anesthetic regimen. Spine 2019;44(6):E379–E383. DOI: 10.1097/BRS.0000000000002855
Raft J, Chin KJ, Belanger ME, et al. Continuous erector spinae plane block for thoracotomy analgesia after epidural failure. J Clin Anesth 2019;54:132–133. DOI: 10.1016/j.jclinane.2018.10.024
Kim E, Kwon W, Oh S, et al. The erector spinae plane block for postoperative analgesia after percutaneous nephrolithotomy. Chin Med J 2018;131(15):1877–1878. DOI: 10.4103/0366-6999.237408
Yoshizaki M, Murata H, Ogami-Takamura K, et al. Bilateral erector spinae plane block using a programmed intermittent bolus technique for pain management after Nuss procedure. J Clin Anesth 2019;57:51–52. DOI: 10.1016/j.jclinane.2019.03.014
Chin KJ, Adhikary S, Sarwani N, et al. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia 2017;72(4):452–460. DOI: 10.1111/anae.13814
Mingote Á, Albajar A, García Benedito P, et al. Prevalence and clinical consequences of atelectasis in SARS-CoV-2 pneumonia: a computed tomography retrospective cohort study. BMC Pulm Med 2021;21(1):267. DOI: 10.1186/s12890-021-01638-9