Ultrasound guided erector spinae plane catheter for thoracotomy: a case report | [Anaesthesia, Pain and Intensive Care • 2021]

Author(s):

1. Ali Usman: Department of Anesthesiology & Pain Management, Shaukat Khanum Memorial Cancer Hospital and Research Centre,Johar Town, Lahore,Pakistan

2. Ahsun Waqar Khan: Department of Anesthesiology & Pain Management, Shaukat Khanum Memorial Cancer Hospital and Research Centre,Johar Town, Lahore,Pakistan

3. Muhammad Khurram Ijaz: Department of Anesthesiology & Pain Management, Shaukat Khanum Memorial Cancer Hospital and Research Centre,Johar Town, Lahore,Pakistan

Abstract:

Major thoracic surgery results in severe postoperative pain. Epidural analgesia is considered the gold standard for pain management after thoracic surgery. However, epidural blocks are contraindicated in certain clinical conditions. Pain management in such patients poses a unique challenge to the anesthesiologists. Erector spinae plane block (ESPB) is a less invasive and relatively new technique, which has shown promising results. This case report describes the use of ESPB as an alternate analgesic technique. A 65-year-old man underwent thoracotomy and left upper lobe resection. Intraoperative and postoperative pain was managed with intermittent boluses of bupivacaine through the erector spinae plane catheter. Effective analgesia was achieved with minimal morphine consumption in postoperative period. Although central neuraxial blocks are considered to be gold standard for major thoracic surgery but where applicable, alternatives can be opted for better patient outcomes

Page(s): 812-815

DOI: 10.35975/apic.v25i6.1707

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 25, Issue: 6, Year: 2021

Keywords:

Analgesia , thoracotomy , Erector spinae plane block , Pain control , Neuraxial analgesia

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