Erector spinae plane block for affective and safe analgesia in a patient with severe penetrating chest trauma caused by an explosion in the battlefield.

Autor: Dmytriiev D; Anestesia and Intensive Care Department Vinnytsya National Pirogov Memorial Medical University Vinnytsia Ukraine., Dîrzu DS; Anestesia and Intensive Care Department Clinicilor 4-6 Emergency County Hospital Cluj-Napoca Romania., Melnychenko M; Anestesia and Intensive Care Department Vinnytsya National Pirogov Memorial Medical University Vinnytsia Ukraine., Eichholz R; medizi. Private Practice for Anaesthesiology Stuttgart Germany.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2022 Oct 08; Vol. 10 (10), pp. e6433. Date of Electronic Publication: 2022 Oct 08 (Print Publication: 2022).
DOI: 10.1002/ccr3.6433
Abstrakt: The ongoing conflict in Ukraine continues to generate many complex traumatic injuries and provides unique challenges to anaesthesiologists who provide medical care at various levels of medical evacuation. We report the successful use of an ultrasound-guided continuous erector spinae plane (ESP) block in a patient with severe posterolateral chest trauma. The acute perioperative outcome of the patient was improved with the ESP block, the main benefits being excellent analgesia and minimal postoperative morphine requirements without influencing the risk of bleeding and coagulopathy. We conclude that continuous ESP block can be utilized to provide excellent analgesia following massive thoracic trauma. It's ease of placement under ultrasound guidance and low risk of complications makes this technique particularly useful in war medicine.
Competing Interests: DDS has SE role in the CCRJ editorial team. No other COI to declare.
(© 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje