Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy

The erector spinae plane block (ESPB), a recent innovation in regional anesthesia, has been used for analgesia of the thorax and chest. The case presented describes the use of an ESPB postoperatively for rescue analgesia on an elderly, opioid-naïve patient, who had severe postoperative pain after ou...

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Detalles Bibliográficos
Autores principales: Muncey, Aaron R, Evans, Raymond, Escher, Allan R, Nahrwold, Daniel A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842249/
https://www.ncbi.nlm.nih.gov/pubmed/33527062
http://dx.doi.org/10.7759/cureus.12930
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author Muncey, Aaron R
Evans, Raymond
Escher, Allan R
Nahrwold, Daniel A
author_facet Muncey, Aaron R
Evans, Raymond
Escher, Allan R
Nahrwold, Daniel A
author_sort Muncey, Aaron R
collection PubMed
description The erector spinae plane block (ESPB), a recent innovation in regional anesthesia, has been used for analgesia of the thorax and chest. The case presented describes the use of an ESPB postoperatively for rescue analgesia on an elderly, opioid-naïve patient, who had severe postoperative pain after outpatient surgery at an axillary sentinel lymph node biopsy site refractory to escalating IV opioid doses. The rescue ESPB was successful in reducing the patient’s pain to 0/10, allowing the patient to be discharged home and preventing a costly hospital admission.
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spelling pubmed-78422492021-01-31 Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy Muncey, Aaron R Evans, Raymond Escher, Allan R Nahrwold, Daniel A Cureus Anesthesiology The erector spinae plane block (ESPB), a recent innovation in regional anesthesia, has been used for analgesia of the thorax and chest. The case presented describes the use of an ESPB postoperatively for rescue analgesia on an elderly, opioid-naïve patient, who had severe postoperative pain after outpatient surgery at an axillary sentinel lymph node biopsy site refractory to escalating IV opioid doses. The rescue ESPB was successful in reducing the patient’s pain to 0/10, allowing the patient to be discharged home and preventing a costly hospital admission. Cureus 2021-01-27 /pmc/articles/PMC7842249/ /pubmed/33527062 http://dx.doi.org/10.7759/cureus.12930 Text en Copyright © 2021, Muncey et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Muncey, Aaron R
Evans, Raymond
Escher, Allan R
Nahrwold, Daniel A
Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy
title Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy
title_full Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy
title_fullStr Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy
title_full_unstemmed Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy
title_short Use of a Low Concentration, High Volume Erector Spinae Plane Block for Rescue Analgesia After Melanoma Resection and Axillary Sentinel Lymph Node Biopsy
title_sort use of a low concentration, high volume erector spinae plane block for rescue analgesia after melanoma resection and axillary sentinel lymph node biopsy
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842249/
https://www.ncbi.nlm.nih.gov/pubmed/33527062
http://dx.doi.org/10.7759/cureus.12930
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