scholarly journals Erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a case report

2018 ◽  
Vol Volume 11 ◽  
pp. 1983-1990 ◽  
Author(s):  
Dimosthenis Petsas ◽  
Valentini Pogiatzi ◽  
Thanasis Galatidis ◽  
Maria Drogouti ◽  
Iliana Sofianou ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Postoperative Analgesia ◽  
Erector Spinae ◽  
Erector Spinae Plane Block

scholarly journals The Effects of Erector Spinae Plane Block in Terms of Postoperative Analgesia in Patients Undergoing Laparoscopic Cholecystectomy: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 9 (9) ◽  
pp. 2928
Author(s):  
Chang-Hoon Koo ◽  
Jin-Young Hwang ◽  
Hyun-Jung Shin ◽  
Jung-Hee Ryu
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Randomized Controlled Trials ◽  
Postoperative Analgesia ◽  
Meta Analysis ◽  
Erector Spinae ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Erector Spinae Plane Block ◽  
Pain Scores

Ultrasound-guided erector spinae plane block (ESPB), a recent regional analgesic technique, has been used to manage acute pain after surgery. The aim of this meta-analysis is to identify the benefits of ESPB in patients undergoing laparoscopic cholecystectomy (LC). The authors searched PubMed, EMBASE, CENTRAL, CINAHL, and Web of Science to identify all randomized controlled trials (RCTs) evaluating the effects of ESPB on postoperative pain after LC. Primary outcome was defined as 24 h cumulative opioid consumption. Secondary outcomes were pain scores and the incidence of postoperative nausea and vomiting (PONV). We estimated mean differences (MD) and odds ratio (OR) using a random-effects model. A total of 8 RCTs, including 442 patients, were included in the final analysis. Postoperative opioid consumption was significantly lower in the ESPB group than in the control group (MD −4.72, 95% CI −6.00 to −3.44, p < 0.001). Compared with the control group, the ESPB group also showed significantly lower pain scores and incidence of PONV. A separate analysis of RCTs comparing ESPB with oblique subcostal transversus abdominis plane (OSTAP) block showed that the analgesic efficacy of ESPB was similar to that of OSTAP block. The results of this meta-analysis demonstrated that ESPB may provide effective postoperative analgesia in patients undergoing LC.

scholarly journals Erector Spinae Plane Block for Post-Operative Analgesia for Above the Knee Amputation: A Case Report

2021 ◽  
Author(s):  
Erica Langnas ◽  
Andrew Gray ◽  
Matthias Braehler
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Postoperative Analgesia ◽  
Pain Control ◽  
Neuraxial Anesthesia ◽  
Erector Spinae ◽  
Case Presentation ◽  
Knee Amputation ◽  
Erector Spinae Plane Block ◽  
Thoracic Level

Abstract Background: Above the knee amputations (AKA) are common surgeries that frequently use neuraxial or peripheral nerve blocking techniques for both intraoperative and postoperative analgesia. It is not uncommon that patients present with contraindications to neuraxial anesthesia. Case presentation: We identified a relatively novel use of erector spinae plane block (ESP) for above the knee amputation that allows for adequate pain control postoperatively when there are contraindications for neuraxial. Conclusion: While data on ESP at the thoracic level is well described, less is known about the expected coverage for lumbar ESP. This case suggests that at the level of L3 there is sufficient dermatomal spread for an AKA.

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