Enhancing post-operative analgesia following spinal cord stimulation implant: a comprehensive evaluation of the effectiveness of erector spinae plane block utilizing liposomal bupivacaine.

IF 1.4 Q4 CLINICAL NEUROLOGY Pain management Pub Date : 2023-12-01 Epub Date: 2023-12-06 DOI:10.2217/pmt-2023-0062
Afrin Sagir, Melissa Murphy, Richard Teames, Doug Calenda
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Abstract

Erector spinae plane block (ESPB) is an inter-fascial plane block that provides multi-dermatomal analgesia for treatment of acute pain and chronic neuropathic pain in the trunk. This retrospective case series describes a novel method of treating acute postoperative pain after spinal cord stimulation implant with erector spinae plane block using liposomal bupivacaine. Bilateral erector spinae plane block was administered at L1-L2 intervertebral level in 18 cases prior to performing spinal cord stimulation implant at one interspace above. This study reveals that the block provides effective analgesia as evidenced by low pain scores and less opioid consumption after surgery.

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加强脊髓刺激植入术后镇痛:利用脂质体布比卡因对竖脊平面阻滞效果进行综合评估。
竖脊肌平面阻滞(ESPB)是一种筋膜间平面阻滞,可提供多皮层镇痛,用于治疗躯干急性疼痛和慢性神经病理性疼痛。本回顾性病例系列描述了一种使用脂质体布比卡因进行竖脊肌平面阻滞治疗脊髓刺激植入术后急性疼痛的新方法。在 18 个病例中,在 L1-L2 椎间水平进行了双侧竖脊平面阻滞,然后在上方一个椎间隙进行了脊髓刺激植入术。这项研究表明,阻滞能提供有效的镇痛效果,术后疼痛评分低、阿片类药物用量少就是证明。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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