Local anesthetic toxicity following erector spinae plane block in a neonate: a case report

2021 ◽  
Author(s):  
Ann‐Marie Crowe ◽  
Branislav Mislovič
2021 ◽  
pp. 030089162110058
Author(s):  
Edoardo Ceraolo ◽  
Eleonora Balzani ◽  
Giulio Luca Rosboch ◽  
Francesco Guerrera ◽  
Paraskevas Lyberis ◽  
...  

Background: Erector spinae plane block (ESPB) has been described as an effective regional anesthesia technique in thoracic parenchymal surgery. Evidence highlighting the use of this technique continuously via perifascial catheter is lacking. Case presentation: In this case report, we present the case of a patient scheduled for robotic-assisted thoracic surgery for a pulmonary neoformation in the lower right lobe. We decided to manage this patient with a multimodal approach in order to have an opioid-sparing effect. This is the first reported case of continuous ESPB in robot-assisted thoracic surgery. Conclusions: Anesthesiologists should consider this method in surgery that is slower than conventional surgery, such as robot-assisted, and less invasive than thoracotomy, which does not warrant the use of neuroaxial or paravertebral techniques that increase the risk of iatrogenic complications.


2021 ◽  

Thoracic surgery is still associated with severe postoperative pain. In this video tutorial, we present 2 techniques that could be used as an additional method in a multimodal postoperative analgesia strategy for video-assisted thoracic surgery. We present the combination of an epipleural surgical infiltration of a local anesthetic with an ultrasound-guided erector spinae plane block.


2019 ◽  
Vol 72 (1) ◽  
pp. 68-71 ◽  
Author(s):  
Abdelghafour Elkoundi ◽  
Aziza Bentalha ◽  
Salma Ech-Cherif El Kettani ◽  
Ahlam Mosadik ◽  
Alae El Koraichi

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