Cargando…
Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases
Pain after lumbar spine fusion surgery is often difficult to control in the immediate postoperative period. Historically, opioids have been the mainstay of treatment, but are associated with many unwanted side effects as well as increased hospital length of stay. The ultrasound-guided erector spinae...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7431594/ https://www.ncbi.nlm.nih.gov/pubmed/32884335 http://dx.doi.org/10.2147/LRA.S268973 |
_version_ | 1783571615230984192 |
---|---|
author | Kianpour, Daniel N Gundy, Joseph T Nadler, Jacob W Lindenmuth, Danielle M |
author_facet | Kianpour, Daniel N Gundy, Joseph T Nadler, Jacob W Lindenmuth, Danielle M |
author_sort | Kianpour, Daniel N |
collection | PubMed |
description | Pain after lumbar spine fusion surgery is often difficult to control in the immediate postoperative period. Historically, opioids have been the mainstay of treatment, but are associated with many unwanted side effects as well as increased hospital length of stay. The ultrasound-guided erector spinae plane block (ESP) is a relatively safe and simple regional option for the management of acute postoperative pain after spine surgery without the technical difficulty or complications noted with paravertebral injection (eg, pneumothorax, hematoma). To date, there have been reports of preoperative placement of ESP block prior to spine surgery with some success. We present a report of two cases that highlight the efficacy of the ESP block as an early postoperative “rescue” regional anesthetic technique in lumbar spine surgery. These cases demonstrate the potential effectiveness of a “rescue” use of the ESP block in patients having uncontrolled or poorly controlled pain in the early postoperative period with no evidence of significant side effects. |
format | Online Article Text |
id | pubmed-7431594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-74315942020-09-02 Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases Kianpour, Daniel N Gundy, Joseph T Nadler, Jacob W Lindenmuth, Danielle M Local Reg Anesth Case Series Pain after lumbar spine fusion surgery is often difficult to control in the immediate postoperative period. Historically, opioids have been the mainstay of treatment, but are associated with many unwanted side effects as well as increased hospital length of stay. The ultrasound-guided erector spinae plane block (ESP) is a relatively safe and simple regional option for the management of acute postoperative pain after spine surgery without the technical difficulty or complications noted with paravertebral injection (eg, pneumothorax, hematoma). To date, there have been reports of preoperative placement of ESP block prior to spine surgery with some success. We present a report of two cases that highlight the efficacy of the ESP block as an early postoperative “rescue” regional anesthetic technique in lumbar spine surgery. These cases demonstrate the potential effectiveness of a “rescue” use of the ESP block in patients having uncontrolled or poorly controlled pain in the early postoperative period with no evidence of significant side effects. Dove 2020-08-13 /pmc/articles/PMC7431594/ /pubmed/32884335 http://dx.doi.org/10.2147/LRA.S268973 Text en © 2020 Kianpour et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Series Kianpour, Daniel N Gundy, Joseph T Nadler, Jacob W Lindenmuth, Danielle M Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases |
title | Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases |
title_full | Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases |
title_fullStr | Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases |
title_full_unstemmed | Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases |
title_short | Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases |
title_sort | postoperative “rescue” use of erector spinae plane block after lumbar spine fusion: a report of 2 cases |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7431594/ https://www.ncbi.nlm.nih.gov/pubmed/32884335 http://dx.doi.org/10.2147/LRA.S268973 |
work_keys_str_mv | AT kianpourdanieln postoperativerescueuseoferectorspinaeplaneblockafterlumbarspinefusionareportof2cases AT gundyjosepht postoperativerescueuseoferectorspinaeplaneblockafterlumbarspinefusionareportof2cases AT nadlerjacobw postoperativerescueuseoferectorspinaeplaneblockafterlumbarspinefusionareportof2cases AT lindenmuthdaniellem postoperativerescueuseoferectorspinaeplaneblockafterlumbarspinefusionareportof2cases |