Abstract

CORREIA-COELHO, David Alexandre; PINHEIRO, Filipe  and  GASPAR, Ana. Continuous erector spinae block for postoperative analgesia in a partial colectomy by subcostal incision. Rev. mex. anestesiol. [online]. 2022, vol.45, n.1, pp.65-67.  Epub June 13, 2022. ISSN 0484-7903.  https://doi.org/10.35366/102905.

Erector spinae plane block is an ultrasound-guided technique who has seen a growing role as a perioperative analgesic technique due to its safety profile and versatility. We describe a case of an elderly female with a history of ischemic heart disease and atrial fibrillation, who underwent segmental colectomy by left subcostal laparotomy under general anesthesia, for removal of a colon tumor. An erector spinae plane catheter was placed at the T7 level under ultrasound guidance, and then used for postoperative analgesia. Ropivacaine 0.2% (initial bolus + infusion at 8 mL/h) was used through the catheter, together with intravenous paracetamol and metamizol. This analgesic regimen was maintained for 72 hours, with excellent pain control, after which the catheter was removed. The patient’s pain remained controlled and rescue analgesia was not required until her discharge at seven days postoperative. Continuous ESP block was an effective technique for postoperative analgesia in this case, allowing excellent pain control with a low risk of complications and avoiding the use of opioids.

Keywords : Pain management; nerve blockade; anesthesia and analgesia.

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