Postoperative "Rescue" Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases.

IF 1.5 Q3 ANESTHESIOLOGY Local and Regional Anesthesia Pub Date : 2020-08-13 eCollection Date: 2020-01-01 DOI:10.2147/LRA.S268973
Daniel N Kianpour, Joseph T Gundy, Jacob W Nadler, Danielle M Lindenmuth
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引用次数: 3

Abstract

Pain after lumbar spine fusion surgery is often difficult to control in the immediate postoperative period. Historically, opioids have been the mainstay of treatment, but are associated with many unwanted side effects as well as increased hospital length of stay. The ultrasound-guided erector spinae plane block (ESP) is a relatively safe and simple regional option for the management of acute postoperative pain after spine surgery without the technical difficulty or complications noted with paravertebral injection (eg, pneumothorax, hematoma). To date, there have been reports of preoperative placement of ESP block prior to spine surgery with some success. We present a report of two cases that highlight the efficacy of the ESP block as an early postoperative "rescue" regional anesthetic technique in lumbar spine surgery. These cases demonstrate the potential effectiveness of a "rescue" use of the ESP block in patients having uncontrolled or poorly controlled pain in the early postoperative period with no evidence of significant side effects.

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腰椎融合术后“抢救”使用竖脊肌平面块2例报告。
腰椎融合术后疼痛往往难以在术后立即控制。从历史上看,阿片类药物一直是治疗的主要手段,但与许多不必要的副作用以及住院时间的增加有关。超声引导下的竖立者脊柱平面阻滞(ESP)是一种相对安全、简单的区域性选择,用于治疗脊柱术后急性疼痛,没有椎旁注射的技术困难或并发症(如气胸、血肿)。迄今为止,有报道称在脊柱手术前放置ESP阻滞取得了一些成功。我们报告了两个病例,强调了ESP阻滞作为腰椎手术术后早期“抢救”区域麻醉技术的有效性。这些病例表明,在术后早期疼痛不受控制或控制不佳的患者中,ESP阻滞的“抢救”可能有效,没有明显副作用的证据。
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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
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