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Case Report: Erector Spinae Block in Perforated Viscus

BACKGROUND: Erector spinae plane block (ESPB) a new block described for post-operative analgesia. Since 2016 the block has become a common practice in many institutions globally. Evidence has shown that ESPB is superior to truncal and abdominal wall blocks for many thoracic and abdominal surgeries....

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Autores principales: Rauf, Jassim, A M Haji, Mohammad Mohsin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940489/
https://www.ncbi.nlm.nih.gov/pubmed/36814519
http://dx.doi.org/10.2147/LRA.S393913
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author Rauf, Jassim
A M Haji, Mohammad Mohsin
author_facet Rauf, Jassim
A M Haji, Mohammad Mohsin
author_sort Rauf, Jassim
collection PubMed
description BACKGROUND: Erector spinae plane block (ESPB) a new block described for post-operative analgesia. Since 2016 the block has become a common practice in many institutions globally. Evidence has shown that ESPB is superior to truncal and abdominal wall blocks for many thoracic and abdominal surgeries. CASE PRESENTATION: A 29-year-old male, ASA (American Society of Anesthesiologists) IIE patient presented with acute appendicitis. Patient was scheduled to undergo Laparoscopic Appendicectomy under general anesthesia (GA) with ESPB for post op analgesia. In the operating room after induction of GA patient received an ultrasound (US) guided bilateral ESPB at T10 level of the spinal cord with 20 mls of 0.25% levobupivacaine on each side. Intraoperatively the appendix was found to be normal and there was an incidental finding of perforated superior/first part of duodenum (D1). The duodenum was repaired. Patient remained hemodynamically stable intraoperatively. No intraoperative morphine was required. After uneventful extubation, the patient was transferred to post-operative anesthesia care unit (PACU). Patient reported pain score of zero on a 11-point numerical rating scale (NRS) in PACU. No morphine was required in the next 24 hours on the ward either. CONCLUSION: ESPB can provide opioid free analgesia for laparoscopic repair of perforated duodenal ulcer both intra and postoperatively.
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spelling pubmed-99404892023-02-21 Case Report: Erector Spinae Block in Perforated Viscus Rauf, Jassim A M Haji, Mohammad Mohsin Local Reg Anesth Case Report BACKGROUND: Erector spinae plane block (ESPB) a new block described for post-operative analgesia. Since 2016 the block has become a common practice in many institutions globally. Evidence has shown that ESPB is superior to truncal and abdominal wall blocks for many thoracic and abdominal surgeries. CASE PRESENTATION: A 29-year-old male, ASA (American Society of Anesthesiologists) IIE patient presented with acute appendicitis. Patient was scheduled to undergo Laparoscopic Appendicectomy under general anesthesia (GA) with ESPB for post op analgesia. In the operating room after induction of GA patient received an ultrasound (US) guided bilateral ESPB at T10 level of the spinal cord with 20 mls of 0.25% levobupivacaine on each side. Intraoperatively the appendix was found to be normal and there was an incidental finding of perforated superior/first part of duodenum (D1). The duodenum was repaired. Patient remained hemodynamically stable intraoperatively. No intraoperative morphine was required. After uneventful extubation, the patient was transferred to post-operative anesthesia care unit (PACU). Patient reported pain score of zero on a 11-point numerical rating scale (NRS) in PACU. No morphine was required in the next 24 hours on the ward either. CONCLUSION: ESPB can provide opioid free analgesia for laparoscopic repair of perforated duodenal ulcer both intra and postoperatively. Dove 2023-02-16 /pmc/articles/PMC9940489/ /pubmed/36814519 http://dx.doi.org/10.2147/LRA.S393913 Text en © 2023 Rauf and A M Haji. https://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/ (https://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 Report
Rauf, Jassim
A M Haji, Mohammad Mohsin
Case Report: Erector Spinae Block in Perforated Viscus
title Case Report: Erector Spinae Block in Perforated Viscus
title_full Case Report: Erector Spinae Block in Perforated Viscus
title_fullStr Case Report: Erector Spinae Block in Perforated Viscus
title_full_unstemmed Case Report: Erector Spinae Block in Perforated Viscus
title_short Case Report: Erector Spinae Block in Perforated Viscus
title_sort case report: erector spinae block in perforated viscus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940489/
https://www.ncbi.nlm.nih.gov/pubmed/36814519
http://dx.doi.org/10.2147/LRA.S393913
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