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Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report

INTRODUCTION: The erector spinae plane block is a newly described and effective interfascial plane block for thoracic and abdominal surgery. This case report describes a patient with multiple rib fractures undergoing ultrasound-guided continuous erector spinae plane block for analgesia. CASE REPORT:...

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Autores principales: Yayik, Ahmet Murat, Ahiskalioglu, Ali, Çelik, Erkan Cem, Ay, Aysenur, Ozenoglu, Atila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391790/
https://www.ncbi.nlm.nih.gov/pubmed/30392675
http://dx.doi.org/10.1016/j.bjane.2018.08.001
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author Yayik, Ahmet Murat
Ahiskalioglu, Ali
Çelik, Erkan Cem
Ay, Aysenur
Ozenoglu, Atila
author_facet Yayik, Ahmet Murat
Ahiskalioglu, Ali
Çelik, Erkan Cem
Ay, Aysenur
Ozenoglu, Atila
author_sort Yayik, Ahmet Murat
collection PubMed
description INTRODUCTION: The erector spinae plane block is a newly described and effective interfascial plane block for thoracic and abdominal surgery. This case report describes a patient with multiple rib fractures undergoing ultrasound-guided continuous erector spinae plane block for analgesia. CASE REPORT: A 37-year-old male patient was taken for surgical fixation of multiple rib fractures. At the end of the surgery, using ultrasound-guided longitudinal parasagittal orientation 3 cm to the lateral aspect of the T5 spinous process and an in-plane technique, 20 mL 0.25% bupivacaine was administered between the erector spinae muscle and the transverse process, and a catheter was then inserted in the same plane. Before the end of surgery, 1 g paracetamol and 50 mg dexketoprofen were administered. Postoperative analgesia was applied with patient controlled analgesia method using 0.25% bupivacaine via the catheter. The patient's Visual Analogue Scale score at rest in the first 24 h was 0. The patient was monitored for 3 days with Visual Analogue Scale < 4, and the catheter was removed on postoperative day 4. No opioid requirement other than paracetamol and dexketoprofen occurred during this time. No postoperative complications were recorded. DISCUSSION: The erector spinae plane block is an alternative to paravertebral, intercostal, epidural or other regional techniques. It may be a suitable technique in anesthesia and algology practice due to providing analgesia in the postoperative period with a catheter in the erector spinae plane.
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spelling pubmed-93917902022-08-21 Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report Yayik, Ahmet Murat Ahiskalioglu, Ali Çelik, Erkan Cem Ay, Aysenur Ozenoglu, Atila Braz J Anesthesiol Clinical Information INTRODUCTION: The erector spinae plane block is a newly described and effective interfascial plane block for thoracic and abdominal surgery. This case report describes a patient with multiple rib fractures undergoing ultrasound-guided continuous erector spinae plane block for analgesia. CASE REPORT: A 37-year-old male patient was taken for surgical fixation of multiple rib fractures. At the end of the surgery, using ultrasound-guided longitudinal parasagittal orientation 3 cm to the lateral aspect of the T5 spinous process and an in-plane technique, 20 mL 0.25% bupivacaine was administered between the erector spinae muscle and the transverse process, and a catheter was then inserted in the same plane. Before the end of surgery, 1 g paracetamol and 50 mg dexketoprofen were administered. Postoperative analgesia was applied with patient controlled analgesia method using 0.25% bupivacaine via the catheter. The patient's Visual Analogue Scale score at rest in the first 24 h was 0. The patient was monitored for 3 days with Visual Analogue Scale < 4, and the catheter was removed on postoperative day 4. No opioid requirement other than paracetamol and dexketoprofen occurred during this time. No postoperative complications were recorded. DISCUSSION: The erector spinae plane block is an alternative to paravertebral, intercostal, epidural or other regional techniques. It may be a suitable technique in anesthesia and algology practice due to providing analgesia in the postoperative period with a catheter in the erector spinae plane. Elsevier 2018-09-10 /pmc/articles/PMC9391790/ /pubmed/30392675 http://dx.doi.org/10.1016/j.bjane.2018.08.001 Text en © 2018 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Clinical Information
Yayik, Ahmet Murat
Ahiskalioglu, Ali
Çelik, Erkan Cem
Ay, Aysenur
Ozenoglu, Atila
Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
title Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
title_full Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
title_fullStr Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
title_full_unstemmed Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
title_short Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
title_sort continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
topic Clinical Information
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391790/
https://www.ncbi.nlm.nih.gov/pubmed/30392675
http://dx.doi.org/10.1016/j.bjane.2018.08.001
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