Utility of Electrical Stimulation for Correct Placement and Neuromodulation of the Erector Spinae Plane Block for Total Shoulder Arthroplasty: A Case Report.

IF 0.5 A&A Practice Pub Date : 2023-05-01 DOI:10.1213/XAA.0000000000001680
Jan Boublik, Richard K Kim, Ban C Tsui
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Abstract

The role of neuromodulation in fascial plane blocks is unknown. This case report presents a complex patient who underwent shoulder arthroplasty with a high thoracic-erector spinae plane (HT-ESP) catheter that provided electrical and chemical neuromodulation, highlighting the potential of electrical stimulation in the identification of and therapy at the fascial plane level.

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电刺激对全肩关节置换术中直立棘平面块的正确放置和神经调节的作用:1例报告。
神经调节在筋膜面阻滞中的作用尚不清楚。本病例报告介绍了一位接受肩关节置换术的复杂患者,该患者使用了高胸直肌脊柱平面(HT-ESP)导管,该导管提供电和化学神经调节,突出了电刺激在筋膜平面水平的识别和治疗中的潜力。
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A&A Practice
A&A Practice ANESTHESIOLOGY-
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期刊介绍: A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.
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