Two-level bilateral ultrasound-guided erector spinae plane block for kyphosis corrective surgery - A case report
| Autor: | Chandni Sinha, Amarjeet Kumar, Ajeet Kumar, Poonam Kumari, Prabhat Agrawal, Arun SK |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Anesthesia and Pain Medicine, Vol 17, Iss 3, Pp 327-330 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1975-5171 2383-7977 |
| DOI: | 10.17085/apm.21107 |
| Popis: | Background Ultrasound-guided erector spinae plane (ESP) block has been used to provide lumbar analgesia. The craniocaudal spread of local anesthetic in this block can be unpredictable in patients with kyphosis due to backward curvature of the spine, which might prevent longitudinal spread. Case This is a case of a 33-year-old male (60 kg) diagnosed with type 3b kyphosis of the thoracolumbar region at the level of L1 who underwent extended pedicle subtraction osteotomy. ESP block was administered at two different levels, one at T12 (above the angle of the kyphosis L1) and another at L3 (below the angle of kyphosis L1), as the curvature of kyphosis can hinder the longitudinal spread of local anesthetic. Conclusions Two-level ESP block results in better craniocaudal spread of local anesthetic in a patient undergoing kyphosis correction surgery. |
| Databáze: | Directory of Open Access Journals |
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