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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2023, Number 4

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Rev Mex Anest 2023; 46 (4)

Erector spinae plane block as an analgesic rescue to acute control postoperative pain in scapula fracture: case report

Leotau-Rodríguez MA, Valenzuela A, Rangel GW
Full text How to cite this article 10.35366/112299

DOI

DOI: 10.35366/112299
URL: https://dx.doi.org/10.35366/112299

Language: Spanish
References: 6
Page: 272-274
PDF size: 229.35 Kb.


Key words:

nerve block, regional anesthesia, postoperative pain, acute pain, scapula.

ABSTRACT

Introduction: the erector spine plane block (ESPB) is a safe procedure, technically is less demanding than conventional thoracic regional anesthesia techniques. It is used for the treatment of acute and chronic pain. In the literature review, no reports of its use as a single technique in the acute pain of scapula fracture were found. Case presentation: ESPB is reported in a case as an experimental technique for controlling acute postoperative pain in scapula fractures with an application at the T2 level. It was performed postoperatively with a decrease in pain after 10 minutes and a score of zero on the analog pain scale. In this case, the ESPB was performed in the immediate postoperative period, achieving a total decrease in pain at 10 minutes, with subsequent pain control at 36 hours. Conclusion: this case shows the effectiveness of ESPB as an experimental technique for postoperative pain control in scapula fractures.


REFERENCES

  1. Urits I, Charipova K, Gress K, Laughlin P, Orhurhu V, Kaye AD, et al. Expanding role of the erector spinae plane block for postoperative and chronic pain management. Curr Pain Headache Rep. 2019;23:71.

  2. Vidal E, Giménez H, Forero M, Fajardo M. Erector spinae plane block: A cadaver study to determine its mechanism of action. Rev Esp Anestesiol Reanim (Engl Ed). 2018;65:514-519.

  3. Selvi O, Tulgar S, Ozer Z. Case report presentation of ultrasound-guided erector spinae plane block in shoulder surgery: three patients and two different results. Cureus. 2018;10(11):e3538.

  4. Ma W, Sun L, Ngai L, Costouros JG, Steffner R, Boublik J, et al. Motor-sparing high-thoracic erector spinae plane block for proximal humerus surgery and total shoulder arthroplasty surgery: clinical evidence for differential peripheral nerve block? Can J Anaesth. 2019;66:1274-1275.

  5. Hamadnalla H, Elsharkawy H, Shimada T, Maheshwari K, Esa WAS, Tsui BCH. Cervical erector spinae plane block catheter for shoulder disarticulation surgery. Can J Anaesth. 2019;66:1129-1131.

  6. Kilicaslan A, Hacibeyoglu G, Goger E, Uzun ST, Ozer M. Combined erector spinae plane and interscalene brachial plexus block for surgical anesthesia of scapula fracture. J Clin Anesth. 2019;54:166-167.




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Rev Mex Anest. 2023;46