Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report
Autor: | Erkan Çelik, Atila Ozenoglu, Ahmet Murat Yayik, Ali Ahiskalioglu, Aysenur Ay |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Rib Fractures Fractures Multiple medicine.medical_treatment Paraspinal Muscles lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology Postoperative analgesia Ultrasound medicine Erector spinae muscles Humans Pain Management RD78.3-87.3 Rib fracture Bupivacaine Pain Postoperative Patient-controlled analgesia business.industry Nerve Block General Medicine Dexketoprofen Surgery Transverse plane Catheter lcsh:Anesthesiology Multiple rib fracture Analgesia business Abdominal surgery medicine.drug Erector spinae plane block |
Zdroj: | Brazilian Journal of Anesthesiology, Vol 69, Iss 1, Pp 91-94 (2019) Revista Brasileira de Anestesiologia, Vol 69, Iss 1, Pp 91-94 (2019) |
ISSN: | 0104-0014 |
Popis: | Introduction: The erector spinae plane block is a newly described and effective interfascial plane block for thoracic and abdominal surgery. This case report describes a patient with multiple rib fractures undergoing ultrasound-guided continuous erector spinae plane block for analgesia. Case report: A 37-year-old male patient was taken for surgical fixation of multiple rib fractures. At the end of the surgery, using ultrasound-guided longitudinal parasagittal orientation 3 cm to the lateral aspect of the T5 spinous process and an in-plane technique, 20 mL 0.25% bupivacaine was administered between the erector spinae muscle and the transverse process, and a catheter was then inserted in the same plane. Before the end of surgery, 1 g paracetamol and 50 mg dexketoprofen were administered. Postoperative analgesia was applied with patient controlled analgesia method using 0.25% bupivacaine via the catheter. The patient's Visual Analogue Scale score at rest in the first 24 h was 0. The patient was monitored for 3 days with Visual Analogue Scale |
Databáze: | OpenAIRE |
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