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Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336027/ https://www.ncbi.nlm.nih.gov/pubmed/35902947 http://dx.doi.org/10.1186/s13741-022-00271-2 |
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author | Langnas, Erica M. Gray, Andrew Braehler, Matthias |
author_facet | Langnas, Erica M. Gray, Andrew Braehler, Matthias |
author_sort | Langnas, Erica M. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9336027 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-93360272022-07-30 Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report Langnas, Erica M. Gray, Andrew Braehler, Matthias Perioper Med (Lond) Case Study 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. BioMed Central 2022-07-29 /pmc/articles/PMC9336027/ /pubmed/35902947 http://dx.doi.org/10.1186/s13741-022-00271-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Study Langnas, Erica M. Gray, Andrew Braehler, Matthias Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
title | Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
title_full | Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
title_fullStr | Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
title_full_unstemmed | Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
title_short | Erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
title_sort | erector spinae plane block for postoperative analgesia for above-the-knee amputation: a case report |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336027/ https://www.ncbi.nlm.nih.gov/pubmed/35902947 http://dx.doi.org/10.1186/s13741-022-00271-2 |
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