Erector spinae plane block for rescue analgesia following caesarean delivery

Pain after caesarean section is still a common and important source of patient dissatisfaction in many obstetric centres. With intrathecal morphine combined with multimodal analgesia, approximately 5–10% of patients experience severe breakthrough pain after caesarean delivery that is difficult to ma...

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Main Authors: Abdelghafour Elkoundi, Adil Zemmouri, Hamza Najout, Mustapha Bensghir
Format: Article
Language:English
Published: Termedia Publishing House 2021-02-01
Series:Anaesthesiology Intensive Therapy
Online Access:https://www.termedia.pl/Erector-spinae-plane-block-for-rescue-analgesia-following-caesarean-delivery,118,43251,1,1.html
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author Abdelghafour Elkoundi
Adil Zemmouri
Hamza Najout
Mustapha Bensghir
author_facet Abdelghafour Elkoundi
Adil Zemmouri
Hamza Najout
Mustapha Bensghir
author_sort Abdelghafour Elkoundi
collection DOAJ
description Pain after caesarean section is still a common and important source of patient dissatisfaction in many obstetric centres. With intrathecal morphine combined with multimodal analgesia, approximately 5–10% of patients experience severe breakthrough pain after caesarean delivery that is difficult to manage [1]. Planned erector spinae plane (ESP) block can result in excellent postoperative analgesia associated with high patient satisfaction after caesarean delivery [2, 3]. However, the role of this block for rescue analgesia following caesarean section has never been described. We present a case in which bilateral ESP block was used as rescue analgesia in a woman who had severe postoperative pain following elective caesarean delivery under spinal anaesthesia combined with multimodal analgesia. The patient described in this case gave written consent for publication of this observation.
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spelling doaj.art-8ccc14b25aa64abc9a3b0c57cf38cd452022-12-21T22:40:57ZengTermedia Publishing HouseAnaesthesiology Intensive Therapy1642-57581731-25312021-02-0153327727810.5114/ait.2021.10351443251Erector spinae plane block for rescue analgesia following caesarean deliveryAbdelghafour ElkoundiAdil ZemmouriHamza NajoutMustapha BensghirPain after caesarean section is still a common and important source of patient dissatisfaction in many obstetric centres. With intrathecal morphine combined with multimodal analgesia, approximately 5–10% of patients experience severe breakthrough pain after caesarean delivery that is difficult to manage [1]. Planned erector spinae plane (ESP) block can result in excellent postoperative analgesia associated with high patient satisfaction after caesarean delivery [2, 3]. However, the role of this block for rescue analgesia following caesarean section has never been described. We present a case in which bilateral ESP block was used as rescue analgesia in a woman who had severe postoperative pain following elective caesarean delivery under spinal anaesthesia combined with multimodal analgesia. The patient described in this case gave written consent for publication of this observation.https://www.termedia.pl/Erector-spinae-plane-block-for-rescue-analgesia-following-caesarean-delivery,118,43251,1,1.html
spellingShingle Abdelghafour Elkoundi
Adil Zemmouri
Hamza Najout
Mustapha Bensghir
Erector spinae plane block for rescue analgesia following caesarean delivery
Anaesthesiology Intensive Therapy
title Erector spinae plane block for rescue analgesia following caesarean delivery
title_full Erector spinae plane block for rescue analgesia following caesarean delivery
title_fullStr Erector spinae plane block for rescue analgesia following caesarean delivery
title_full_unstemmed Erector spinae plane block for rescue analgesia following caesarean delivery
title_short Erector spinae plane block for rescue analgesia following caesarean delivery
title_sort erector spinae plane block for rescue analgesia following caesarean delivery
url https://www.termedia.pl/Erector-spinae-plane-block-for-rescue-analgesia-following-caesarean-delivery,118,43251,1,1.html
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