Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series
Abstract Background Patients with polytrauma (fractures of the humerus and the femur) require concurrent operative fixation. Pain originating from multiple operative sites leads to increasing doses of opioid-based analgesia, which has detrimental effects in the form of longer hospital stays, higher...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-10-01
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| Series: | Ain Shams Journal of Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42077-023-00380-0 |
| _version_ | 1827787192294965248 |
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| author | Sandeep Diwan Abhijit Nair Bharati Adhye Ganesh Bhong Parag Sancheti |
| author_facet | Sandeep Diwan Abhijit Nair Bharati Adhye Ganesh Bhong Parag Sancheti |
| author_sort | Sandeep Diwan |
| collection | DOAJ |
| description | Abstract Background Patients with polytrauma (fractures of the humerus and the femur) require concurrent operative fixation. Pain originating from multiple operative sites leads to increasing doses of opioid-based analgesia, which has detrimental effects in the form of longer hospital stays, higher costs, and increased mortality. Case presentation In twelve patients with humerus and femur fractures, a cervical erector spinae plane block (ESPB) at the level of T1 and a lumbar ESPB at the level of L2 were administered with a catheter and continuous infusion technique for postoperative analgesia. None of these patients required opioids in the postoperative period. The catheters were removed after 48 h. Conclusions A dual ESPB can be used successfully in patients with multiple injuries by appropriately selecting the level of intervention, and opioid-sparing analgesia can be effectively delivered to these patients. |
| first_indexed | 2024-03-11T16:45:57Z |
| format | Article |
| id | doaj.art-1dfff82b4cab4c5c9389e3d4086128e6 |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-03-11T16:45:57Z |
| publishDate | 2023-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-1dfff82b4cab4c5c9389e3d4086128e62023-10-22T11:06:39ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2023-10-011511310.1186/s42077-023-00380-0Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case seriesSandeep Diwan0Abhijit Nair1Bharati Adhye2Ganesh Bhong3Parag Sancheti4Department of Anaesthesiology, Sancheti HospitalDepartment of Anaesthesiology, Ibra HospitalDepartment of Anaesthesiology, Sancheti HospitalDepartment of Anaesthesiology, Sancheti HospitalDepartment of Orthopedics, Sancheti HospitalAbstract Background Patients with polytrauma (fractures of the humerus and the femur) require concurrent operative fixation. Pain originating from multiple operative sites leads to increasing doses of opioid-based analgesia, which has detrimental effects in the form of longer hospital stays, higher costs, and increased mortality. Case presentation In twelve patients with humerus and femur fractures, a cervical erector spinae plane block (ESPB) at the level of T1 and a lumbar ESPB at the level of L2 were administered with a catheter and continuous infusion technique for postoperative analgesia. None of these patients required opioids in the postoperative period. The catheters were removed after 48 h. Conclusions A dual ESPB can be used successfully in patients with multiple injuries by appropriately selecting the level of intervention, and opioid-sparing analgesia can be effectively delivered to these patients.https://doi.org/10.1186/s42077-023-00380-0Acute painErector spinaePolytraumaRegional anesthesiaUltrasonography |
| spellingShingle | Sandeep Diwan Abhijit Nair Bharati Adhye Ganesh Bhong Parag Sancheti Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series Ain Shams Journal of Anesthesiology Acute pain Erector spinae Polytrauma Regional anesthesia Ultrasonography |
| title | Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series |
| title_full | Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series |
| title_fullStr | Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series |
| title_full_unstemmed | Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series |
| title_short | Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series |
| title_sort | dual erector spinae plane block for complex traumas of upper and lower limb an opioid reduction strategy a case series |
| topic | Acute pain Erector spinae Polytrauma Regional anesthesia Ultrasonography |
| url | https://doi.org/10.1186/s42077-023-00380-0 |
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