Bilateral erector spinae plane blocks using a small volume of local anesthetic for acute pain control after single-port laparoscopic surgery.

Yun-Chin Wong, Ming-Hwang Shyr
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Abstract

In the era of enhanced recovery after surgery, clinicians are encouraged to develop optimized programs for patients who require surgery. Minimal intervention with laparoscopic surgery and multimodal pain management mostly with peripheral nerve block are key components. We are developing a departmental program for enhanced recovery after surgery for single-port laparoscopic surgery. We applied an erector spinae plane block, a novel, newly recognized block, bilaterally at the T10 transverse process with a small dose (10 mL) of local anesthetic. This method was effective and safe and resulted in successful analgesia in a patient who received single-port surgery. This surgery requires a 3-5 cm horizontal or longitudinal periumbilical incision, which was performed in this case, and our results were promising and encouraging.

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单孔腹腔镜手术后使用少量局麻药进行双侧竖脊肌平面阻滞以控制急性疼痛。
在加强术后恢复的时代,鼓励临床医生为需要手术的患者制定优化方案。腹腔镜手术的最小干预和多模式疼痛管理(主要是外周神经阻滞)是关键的组成部分。我们正在为单孔腹腔镜手术制定一项加强术后恢复的科室计划。我们在双侧 T10 横突处用小剂量(10 mL)局麻药进行竖脊肌平面阻滞,这是一种新近认识到的新型阻滞。这种方法既有效又安全,并为一名接受单孔手术的患者成功实施了镇痛。这种手术需要 3-5 厘米的横向或纵向脐周切口,本病例就是采用了这种切口。
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