Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia
Hepatobiliary surgeries are associated with severe pain, and coagulopathy. Adequate pain control is vital and difficult to achieve for these patients. Epidural analgesia is considered the routine standard technique for the management of both somatic and visceral pain from major abdominal surgeries u...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2018-10-01
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| Series: | Egyptian Journal of Anaesthesia |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110184918301673 |
| _version_ | 1819079551117950976 |
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| author | Arshad Ayub Praveen Talawar Rakesh Kumar Debesh Bhoi Ajay Yadav Singh |
| author_facet | Arshad Ayub Praveen Talawar Rakesh Kumar Debesh Bhoi Ajay Yadav Singh |
| author_sort | Arshad Ayub |
| collection | DOAJ |
| description | Hepatobiliary surgeries are associated with severe pain, and coagulopathy. Adequate pain control is vital and difficult to achieve for these patients. Epidural analgesia is considered the routine standard technique for the management of both somatic and visceral pain from major abdominal surgeries until now. However, it is invasive, blind and carries the risk of dural or vascular puncture. Coagulopathy found in patients posted for hepatobiliary surgery further increases the concerns. We found ultrasound guided erector spinae plane block as a safe, simple yet an effective alternative to epidural analgesia for postoperative pain management of hepatobiliary surgeries. Keywords: Erector Spinae Block, Thrombocytopenia, Hepatic surgery |
| first_indexed | 2024-12-21T19:30:47Z |
| format | Article |
| id | doaj.art-46df6cc3274a4cccbb91b7e3ef0c4e8e |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-12-21T19:30:47Z |
| publishDate | 2018-10-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-46df6cc3274a4cccbb91b7e3ef0c4e8e2022-12-21T18:52:43ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492018-10-01344169172Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopeniaArshad Ayub0Praveen Talawar1Rakesh Kumar2Debesh Bhoi3Ajay Yadav Singh4Corresponding author at: Department of Anaesthesia, AIIMS, Ansari Nagar, New Delhi 110049, India.; Department of Anaesthesia, AIIMS, New Delhi, IndiaDepartment of Anaesthesia, AIIMS, New Delhi, IndiaDepartment of Anaesthesia, AIIMS, New Delhi, IndiaDepartment of Anaesthesia, AIIMS, New Delhi, IndiaDepartment of Anaesthesia, AIIMS, New Delhi, IndiaHepatobiliary surgeries are associated with severe pain, and coagulopathy. Adequate pain control is vital and difficult to achieve for these patients. Epidural analgesia is considered the routine standard technique for the management of both somatic and visceral pain from major abdominal surgeries until now. However, it is invasive, blind and carries the risk of dural or vascular puncture. Coagulopathy found in patients posted for hepatobiliary surgery further increases the concerns. We found ultrasound guided erector spinae plane block as a safe, simple yet an effective alternative to epidural analgesia for postoperative pain management of hepatobiliary surgeries. Keywords: Erector Spinae Block, Thrombocytopenia, Hepatic surgeryhttp://www.sciencedirect.com/science/article/pii/S1110184918301673 |
| spellingShingle | Arshad Ayub Praveen Talawar Rakesh Kumar Debesh Bhoi Ajay Yadav Singh Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia Egyptian Journal of Anaesthesia |
| title | Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia |
| title_full | Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia |
| title_fullStr | Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia |
| title_full_unstemmed | Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia |
| title_short | Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia |
| title_sort | erector spinae block a safe simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia |
| url | http://www.sciencedirect.com/science/article/pii/S1110184918301673 |
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