Continuous Erector Spinae Plane Block as Postoperative Analgesic Technique for Robotic-Assisted Thoracic Surgery: A Case Series

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.

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Postoperative Thoracic Pain Treatment: Serratus Anterior or Erector Spinae Plane Block?

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0040-1715491 ◽

2020 ◽

Author(s):

Ayşe Ülgey ◽

Sibel Seçkin Pehlivan ◽

Ömer Faruk Demir

Keyword(s):

Pain Management ◽

Thoracic Surgery ◽

Pain Treatment ◽

Postoperative Pain Management ◽

Erector Spinae ◽

Morphine Consumption ◽

Serratus Anterior ◽

Thoracic Pain ◽

Erector Spinae Plane Block ◽

Pca Method

Abstract Background Thoracic surgery is one of the most painful surgeries. Effective analgesia is important in postoperative pain management. In this study, we aimed to compare the two new fascial block techniques. Methods A total of 107 patients who underwent thoracic surgery between October 2018 and November 2019 were retrospectively evaluated. The study included 59 patients in the serratus anterior plane block (SAPB) group and 48 patients in the erector spinae plane block (ESPB) group. Both groups were administered 30 mL of 0.25% bupivacaine and their morphine consumption was evaluated by a patient-controlled analgesia (PCA) method during the 2nd, 6th, 12th, 24th, and 48th postoperative hours. Pain was measured with the visual analog scale (VAS). Intraoperative mean arterial pressure (MAP) and heart rate (HR) were recorded. Results During the first 24 hours, VAS values were significantly lower in the ESPB group (p < 0.05). Moreover, morphine consumption was significantly lower in the ESPB group in the 24th and 48th hours (p < 0.05). Intraoperative remifentanil consumption was also significantly lower in the ESPB group (p < 0.05). Intraoperative MAP in the ESPB group was found to be significantly lower after the 4th hour. HR was similar in both groups. Conclusion ESPB was more effective compared with SAPB in postoperative thoracic pain management.

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Erector spinae plane block: An effective analgesic technique for pleurodesis after senning operation

Annals of Cardiac Anaesthesia ◽

10.4103/aca.aca_105_19 ◽

2021 ◽

Vol 24 (2) ◽

pp. 263

Author(s):

Arindam Choudhury ◽

Sourangshu Sarkar ◽

Rohan Magoon ◽

Subhajit Sahoo

Keyword(s):

Erector Spinae ◽

Erector Spinae Plane Block ◽

Senning Operation ◽

Analgesic Technique

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Erector spinae plane block: a new option for managing acute axial low back pain in the emergency department

Pain Management ◽

10.2217/pmt-2021-0004 ◽

2021 ◽

Author(s):

Alexander J Anshus ◽

Jessica Oswald

Keyword(s):

Emergency Department ◽

Low Back Pain ◽

Back Pain ◽

Length Of Stay ◽

Case Series ◽

Erector Spinae ◽

Low Back ◽

Analog Scale ◽

Acute Low Back Pain ◽

Erector Spinae Plane Block

Aim: To evaluate pain and length of stay outcomes in six patients who received an erector spinae plane block (ESPB) in the emergency department (ED) for low back pain. Materials & methods: A case series of six patients who received unilateral or bilateral ESPB after presenting to the ED for acute atraumatic axial low back pain. Results: The average visual analog scale pain score reduction was 81.8%, and length of stay after ESPB was 73.5 min. No postprocedure opiates in the ED or after discharge were required. Conclusion: The ESPB is a rapid, safe and opiate-sparing option for the treatment of acute low back pain.

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