scholarly journals Erector spinae plane block and altered hemostasis: is it a safe option? -a case series-

2020 ◽  
Vol 73 (5) ◽  
pp. 445-449 ◽  
Author(s):  
João Galacho ◽  
Mariano Veiga ◽  
Lucindo Ormonde
Keyword(s):  
Anticoagulation Therapy ◽  
Case Series ◽  
Pain Scale ◽  
Ventilator Weaning ◽  
Erector Spinae ◽  
Regional Analgesia ◽  
Erector Spinae Plane Block ◽  
Analgesic Regimen ◽  
Scale Scores ◽  
Effective Analgesia

Background: We described 5 cases of uneventful administration of the erector spinae plane (ESP) block to patients with altered hemostasis.Case: Five patients were admitted to the intensive care unit with altered hemostasis, defined by the activated partial thromboplastin time ratio or internatinal normalized ratio exceeding 1.5 times the normal value; platelet count equal to or below 80000/μl; or use of anticoagulation therapy. A multimodal analgesic regimen was used for all patients, which proved unsatisfactory and limited successful ventilator weaning, until the administration of the ESP block. Effective analgesia was observed in all patients, with at least 70% reduction in numeric pain scale scores and 83% reduction in opioid consumption, which enabled successful ventilator weaning. No neurologic or hemorrhagic complications were recorded during daily surveillance over 5 days.Conclusions: The ESP block may be a suitable regional analgesia technique for patients with altered hemostasis. Further studies are needed to support this finding.

scholarly journals Intravenous lidocaine in cancer-related neuropathic pain: case series

2021 ◽  
Author(s):  
Danny Steven Castiblanco-Delgado ◽  
Daniela Seija-Butnaru ◽  
Bilena Margarita Molina-Arteta
Keyword(s):  
Neuropathic Pain ◽  
Care Service ◽  
Case Series ◽  
Palliative Care Service ◽  
Pain Scale ◽  
Bolus Administration ◽  
Series Type ◽  
Effective Analgesia ◽  
Initial Bolus ◽  
Reduce Pain Intensity

Introduction: Administering systemic lidocaine has been shown to deliver effective analgesia for both cancer-related and non-cancer pain. Adverse effects and toxicity are rare with controlled administration. Objective: To report the results obtained after the indication to manage with IV lidocaine infusion to control neuropathic pain flares in 9 cancer patients. Methodology: Observational, descriptive, case series-type study. A search was conducted in the files of the Pain and Palliative Care Service of the National Cancer Institute - Instituto Nacional de Cancerología - in Bogotá. Patients over 18 years old diagnosed with cancer, who experienced high intensity neuropathic pain and with the cognitive ability to rate their pain in a numerical analogue scale (NAS), without any absolute contraindications for the use of IV lidocaine were included; patients were assessed between September 27 and November 21, 2019. Results: 9 patients experiencing a pain flare-up which was characterized as neuropathic were registered, of which 89 % had some improvement following the administration of an initial lidocaine bolus. After one hour, 60 % reported over 40% improvement in the initial NAS. After 24 hours all patients had experienced some improvement, with a reduction of 46% in the pain scale as compared to the baseline. Conclusions: In this series of cases, the intravenous infusion of lidocaine as an option for the management of neuropathic pain flares seems to reduce pain intensity following the initial bolus administration.

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

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.

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

2021 ◽  
Vol Volume 14 ◽  
pp. 3067-3072
Author(s):  
Marco Cavaleri ◽  
Stefano Tigano ◽  
Roberta Nicoletti ◽  
Valeria La Rosa ◽  
Alberto Terminella ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Case Series ◽  
Erector Spinae ◽  
Robotic Assisted ◽  
Erector Spinae Plane Block ◽  
Analgesic Technique
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