Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report

Abstract Background and objective: Erector spinae plane block is a valid technique to provide simultaneously analgesia for combined thoracic and abdominal surgery. Case report: A patient underwent open esophagectomy followed by reconstructive esophagogastroplasty but refused thoracic epidural anal...

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Main Authors: Alessandro De Cassai, Tommaso Tonetti, Helmut Galligioni, Carlo Ori
Format: Article
Language:English
Published: Sociedade Brasileira de Anestesiologia
Series:Revista Brasileira de Anestesiologia
Subjects:
Online Access:http://www.scielo.br/pdf/rba/v69n1/0034-7094-rba-69-01-0095.pdf
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author Alessandro De Cassai
Tommaso Tonetti
Helmut Galligioni
Carlo Ori
author_facet Alessandro De Cassai
Tommaso Tonetti
Helmut Galligioni
Carlo Ori
author_sort Alessandro De Cassai
collection DOAJ
description Abstract Background and objective: Erector spinae plane block is a valid technique to provide simultaneously analgesia for combined thoracic and abdominal surgery. Case report: A patient underwent open esophagectomy followed by reconstructive esophagogastroplasty but refused thoracic epidural analgesia; a multi-modal analgesia with a multiple erector spinae plane block was then planned. Three erector spinae plane catheters (T5 and T10 on the right side and T9 on the left side) for continuous analgesia were placed before surgery. During the first 48 h pain was never reported in the thoracic area but the patient reported multiple times to feel a pain well localized in epigastrium, but never localized in any other abdominal quadrant. Discussion: Erector spinae plane block is a valid technique to provide analgesia simultaneously for combined thoracic and abdominal surgery and could be a valid alternative strategy if the use of epidural analgesia is contraindicated.
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spelling doaj.art-711bc5b6430a4eb6a59d5c198e1c78972022-12-21T19:23:14ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X10.1016/j.bjane.2018.06.001Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case reportAlessandro De CassaiTommaso TonettiHelmut GalligioniCarlo OriAbstract Background and objective: Erector spinae plane block is a valid technique to provide simultaneously analgesia for combined thoracic and abdominal surgery. Case report: A patient underwent open esophagectomy followed by reconstructive esophagogastroplasty but refused thoracic epidural analgesia; a multi-modal analgesia with a multiple erector spinae plane block was then planned. Three erector spinae plane catheters (T5 and T10 on the right side and T9 on the left side) for continuous analgesia were placed before surgery. During the first 48 h pain was never reported in the thoracic area but the patient reported multiple times to feel a pain well localized in epigastrium, but never localized in any other abdominal quadrant. Discussion: Erector spinae plane block is a valid technique to provide analgesia simultaneously for combined thoracic and abdominal surgery and could be a valid alternative strategy if the use of epidural analgesia is contraindicated.http://www.scielo.br/pdf/rba/v69n1/0034-7094-rba-69-01-0095.pdfErector spinae plane blockRegional anesthesiaEsophagectomy
spellingShingle Alessandro De Cassai
Tommaso Tonetti
Helmut Galligioni
Carlo Ori
Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report
Revista Brasileira de Anestesiologia
Erector spinae plane block
Regional anesthesia
Esophagectomy
title Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report
title_full Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report
title_fullStr Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report
title_full_unstemmed Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report
title_short Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report
title_sort erector spinae plane block as a multiple catheter technique for open esophagectomy a case report
topic Erector spinae plane block
Regional anesthesia
Esophagectomy
url http://www.scielo.br/pdf/rba/v69n1/0034-7094-rba-69-01-0095.pdf
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