2021
DOI: 10.1186/s42077-021-00167-1
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Ultrasound-guided lumbar ESP block for post-operative analgesia as an alternative mode of analgesia in hip arthroplasty with multiple systemic issues: a case report

Abstract: Background Patients with multiple systemic diseases present an anaesthetic challenge in terms of perioperative pain management. We propose that ultrasound-guided erector spinae plane block be used as an alternative mode of analgesia in patients undergoing hip arthroplasty. Case presentation We report a case of a 54-year-old female, a known case of autosomal dominant polycystic kidney disease on continuous ambulatory peritoneal dialysis, hypertensio… Show more

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Cited by 5 publications
(6 citation statements)
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“…The lumbar ESPB is relatively recent and represents a new horizon for regional analgesia and pain management, improving the quality of analgesia when added to a multimodal scheme [ 7 ]. The deposition of local anesthetic in the fascial plane of the erector spinae causes its extensive craniocaudal spread in that plane and possibly also at the paravertebral and epidural levels, blocking the dorsal, ventral, and communicating branches of the spinal nerves [ 1 ]. The ultrasound-guided technique has been described in the literature as an effective analgesic method in various situations, such as the perioperative period and chronic pain, despite presenting a much lower number of publications when compared to the thoracic block.…”
Section: Discussionmentioning
confidence: 99%
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“…The lumbar ESPB is relatively recent and represents a new horizon for regional analgesia and pain management, improving the quality of analgesia when added to a multimodal scheme [ 7 ]. The deposition of local anesthetic in the fascial plane of the erector spinae causes its extensive craniocaudal spread in that plane and possibly also at the paravertebral and epidural levels, blocking the dorsal, ventral, and communicating branches of the spinal nerves [ 1 ]. The ultrasound-guided technique has been described in the literature as an effective analgesic method in various situations, such as the perioperative period and chronic pain, despite presenting a much lower number of publications when compared to the thoracic block.…”
Section: Discussionmentioning
confidence: 99%
“…The erector spinae plane block (ESPB) is an interfascial block useful in various situations due to its ease of administration, safety profile, and excellent level of analgesia [ 1 ]. Technically, it is a method in which local anesthetic is injected into the fascial space between the erector spinae muscle and the vertebral transverse process, providing analgesia by covering the dorsal and ventral branches of the spinal nerves [ 2 , 3 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Another case report in 2021 described a patient achieving mean pain score of 2.8 over 24 h after hip fixation surgery, receiving only lumbar ESPB and paracetamol. 29 While lumbar ESPB shows some promise, there is currently insufficient evidence to support the routine use of ESPB for hip fracture.…”
Section: Interventional Therapies (From Oldest To Latest)mentioning
confidence: 99%
“…They observed excellent and long-lasting (up to 18 hrs) pain relief using single-shot ESPB without any significant motor blockade [25]. Since then, other authors have also published case reports of lumbar ESPB for THA with favourable outcomes [26,27]. Continuous ESPB catheters have also been used for postoperative analgesia in THA [28,29].…”
Section: Newer Regional Anaesthesia Techniques (Table-5) a Supraingui...mentioning
confidence: 99%