Selective Dorsal Scapular Nerve and Long Thoracic Nerve Blocks for Rescue Analgesia in Scapulothoracic Arthrodesis Surgery: A Case Report.

Autor: Gürkan Y; From the Departments of Anesthesiology and Reanimation., Şimşek D; From the Departments of Anesthesiology and Reanimation., Güllü B; Orthopaedics and Traumatology, Koç University Hospital, Koç University Medical School, Istanbul, Turkey., Manici M; From the Departments of Anesthesiology and Reanimation., Darçin K; From the Departments of Anesthesiology and Reanimation., Yürük B; Orthopaedics and Traumatology, Koç University Hospital, Koç University Medical School, Istanbul, Turkey., Demirhan M; Orthopaedics and Traumatology, Koç University Hospital, Koç University Medical School, Istanbul, Turkey., Eren İ; Orthopaedics and Traumatology, Koç University Hospital, Koç University Medical School, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: A&A practice [A A Pract] 2024 Mar 18; Vol. 18 (3), pp. e01765. Date of Electronic Publication: 2024 Mar 18 (Print Publication: 2024).
DOI: 10.1213/XAA.0000000000001765
Abstrakt: Scapulothoracic arthrodesis (STA) surgery is performed to stabilize the scapula in patients with facioscapulohumeral dystrophy (FSHD). Postoperative pain could be a major problem even while using erector spinae plane block (ESPB). We performed a preoperative ESPB with an intraoperative ESPB catheter, but rescue analgesia was needed for pain in the periscapular area in the postoperative period. The patient's pain score was reduced by applying an ultrasound-guided dorsal scapular nerve (DSN) and long thoracic nerve (LTN) block. Selective DSN and LTN blocks can be effective in enhancing postoperative analgesia in STA surgery.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 International Anesthesia Research Society.)
Databáze: MEDLINE