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Continuous Erector Spinae Plane Block First Choice In Perioperative Analgesia In Thoracotomy Surgery
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Book Synopsis Continuous ERECTOR SPINAE PLANE BLOCK: First Choice in Perioperative Analgesia in Thoracotomy Surgery? by : Cristu00f3vu00e3o Tiago Pinto
Download or read book Continuous ERECTOR SPINAE PLANE BLOCK: First Choice in Perioperative Analgesia in Thoracotomy Surgery? written by Cristu00f3vu00e3o Tiago Pinto and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Backgroud and AimsThoracic epidural analgesia are currently the first line techniques for use in managing perioperative pain follow thoracotomy (1). Regional anesthetic techniques are strongly recommended primarily to reduce opioid use and the related adverse effects, including hypoventilation, sedation, nausea, and vomiting (2).In this way, continuous erector spinae plane (ESP) block is growing popularity because of its simplicity, safe and lesser side effects (1,2).We aim to present the result of the analgesic efficacy ofcontinuous ultrasound-guided ESP block in two cases of thoracotomy surgery.Case Report:65-year-old woman, presented for right inferior lobectomy (adenocarcinoma) and a 49-year-old woman, presented for left superior lobectomy (adenocarcinoma). Combined anesthesia (Balanced general anesthesia + continuous ESP) was performed. Before induction, the ultrasound-guided unilateral continuous ESP block was performed at the level of T5. 30 milliliters of ropivacaine 0,375% were administered.The multimodal approach for postoperative analgesia was: programmed intermittent mandatory boluses through the ESP catheter of ropivacaine 0,2% 8 ml/h + paracetamol 1g 8/8h + ketorolac 30mg 12/12h. Rescue analgesia with tramadol 100mg.The worst pain was 4 (numeric scale) 3 and 5 hours after surgery, respectively. At this time they both do tramadol 100mg. Beside this they donu00b4t need more rescue analgesia in the first 48 hours.ConclusionPain after thoracotomy can be difficult to control with a multimodal analgesia. Furthermor, thoracic epidural analgesia has potentially serious complications. Recently, ESP block has increased acceptance because it is a safe thoracic block with minor complications. With this two cases authors had shown that continuous ESP block provides effective post-operative analgesia follow thoracotomy with excellent pain control inside multimodal analgesic program with low opioids requirements.1- Forero M, Adhikary SD, Lopez H, et al. The Erector Spinae Plane Block: A novel analgesic technique in thoracic neuropatic pain. Regional Anesthesia and Pain Medicine. 2016 Sep u2013 Oct 41; 5: 621-27.2 - Forrero M, Rajarathinam M, Adhikary S, et Chin KJ. Continuous Erector Spinae Plane Block for Rescue Analgesia in Thoracotomy After Epidural Failure: ACase Report. . A & A Case Reports. MAY 15TH, 2017; 8(10):254u2013256.
Book Synopsis CONTINUOUS ERECTOR SPINAE PLANE BLOCK IS A VALID POSTOPERATIVE ANALGESIC ALTERNATIVE IN VARIOUS SURGICAL PROCEDURES. by :
Download or read book CONTINUOUS ERECTOR SPINAE PLANE BLOCK IS A VALID POSTOPERATIVE ANALGESIC ALTERNATIVE IN VARIOUS SURGICAL PROCEDURES. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The erector spinae plane block, first described by Forero et al in 2016 for thoracic neuropathic pain, has gained popularity as an alternative technique to neuraxial post-operative analgesia. We performed a retrospective analysis of the records of the patients that received a continuous erector spinae plane block for postoperative analgesia, in our hospital, from September 2017 to April 2018. The statistical analysis was done with SPSS (version 23).We analyzed 37 patients. Procedures ranged from plastic, thoracic, orthopedic, gynecologic and general surgery (table 1). Blocks were performed at a mid-thoracic, low-thoracic or low-lumbar level, according to the type of surgery. Patients received a loading bolus between 20 and 30ml of ropivacaine 0.5% followed by intermittent boluses of 10ml of ropivacaine 0.2% every 2 hours. The median duration of catheter use was 2 days. Pain scores (NRS) during the first three post-operative days varied from 0 to 1.4 at rest and 2.3 to 4.0 with movement (table 2). No other rescue medication was needed. No adverse effects were recorded.This analysis shows that post-operative analgesia with continuous erector spinae plane block can be a valid choice for various surgical procedures. Cumulative evidence of good analgesic efficacy, safety profile and ease of handling could prove this block to be an attractive alternative when neuraxial blockade is not deemed suitable or easily manageable.
Book Synopsis ERECTOR SPINAE PLANE BLOCK AS AN ALTERNATIVE TO EPIDURAL ANALGESIA IN KIDNEY SURGERY : A CASE REPORT. by :
Download or read book ERECTOR SPINAE PLANE BLOCK AS AN ALTERNATIVE TO EPIDURAL ANALGESIA IN KIDNEY SURGERY : A CASE REPORT. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ETIENNE A. 1, BOSMAN F. 1, JORION J-L. 2, VANDER ESSEN L. 1, SAMOURI G. 1 1.tAnesthesiology department2.tUrology surgery departmentThe erector spinae plane (ESP) block was first described in 2016 by Forero et al. (1). It involves the injection of local anesthetic into the interfascial plane, deep to erector spinae muscle (ESM), allowing the blockade of the dorsal and ventral rami of the thoracic spinal nerves. It was initially proposed for analgesia of costal fractures and pulmonary lobectomy (1).We report the case of a left nephrectomy, performed in a 61 years old man. The plan combined general anesthesia with an epidural catheter. After several unsuccessful attempts to place the epidural catheter, we performed a left ESP block. The needle was advanced in plane, and we injected 20 cc of a solution (Levobupivacau00efne 0.25% with epinephrine 1 / 200.000 and clonidine 75 microgram) deep to ESM at the level of T12.Postoperative analgesia included paracetamol, and PCA piritramide IV pump. Piritramide is an opioid commonly used in Belgium, with an analgesic ratio 0.7 versus morphine.No opioid consumption on recovery room, only 11 mg on day one, and 9 mg on the day two. The PCA was removed at the beginning of the second day and analgesia was performed only with paracetamol and tradonal.Altought epidural remains the first choice for lombotomy, this reported case shows the potential interest of an ESP block when an epidural is difficult or impossible. ESP block is easy to learn and safe. It would be interesting to think about the insertion of a catheter which could extend the duration of the analgesia.Bibliography1.tForero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med 2016; 41:621u20137.
Book Synopsis Continuous Erector Spinae Plane Block in Breast Cancer Surgery by : Pamela Maria Celdrán-Clusella
Download or read book Continuous Erector Spinae Plane Block in Breast Cancer Surgery written by Pamela Maria Celdrán-Clusella and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and AimsErector spinae plane (ESP) block has recently been reported for thoracic wall procedures. We describe three cases of continuous ESP block in breast cancer surgery. MethodsThree patients (37, 42, and 47 years-old) underwent breast cancer surgery (mastectomy and sentinel lymph node dissection, mastectomy and lymphadenectomy and tumorectomy and lymphadenectomy, respectively). ESP block was performed at T2 level with ropivacaine 0.35% (30 mL) plus catheter insertion with sedation with midazolam. General anesthesia was maintained with propofol (7mg/Kg/h) and low-dose remifentanil (0.05 mcg/Kg/minute). A single dose of fentanyl (2 mcg/Kg) was used in the induction. All patients received intraoperative antiemetic prophylaxis, dexketoprofen and paracetamol. Continuous ESP block with ropivacaine 0.2% infusion (10mL/h), paracetamol and dexketoprofen were administered for postoperative pain control. Pain was measured with VAS score (0-10) when patients arrived at the post-anesthesia care unit (PACU), when they left PACU and 24 hours after surgery. ResultsPatients reported VAS of 0-1 at all endpoints without requiring any additional analgesia. After ESP catheter infusion was stopped the analgesia lasted 6-8 hours. ConclusionsESP block provides anesthesia at multi-dermatomal levels across posterior, lateral and anterior thoracic wall, making this technique suitable for breast cancer surgery. The main advantage of this block is that it may cover a greater area of the breast and the axilla. Continuous infusion ensures optimal postoperative pain control. In conclusion, we present 3 cases of complex breast cancer surgery where continuous ESP block led to an optimal perioperative pain control with a minimum use of opioids and other analgesics.
Book Synopsis Continuous Erector Spinae Plane Block in Breast Cancer Surgery by : Pamela Maru00eda Clusella
Download or read book Continuous Erector Spinae Plane Block in Breast Cancer Surgery written by Pamela Maru00eda Clusella and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and AimsErector spinae plane (ESP) block has recently been reported for thoracic wall procedures. We describe three cases of continuous ESP block in breast cancer surgery. MethodsThree patients (37, 42, and 47 years-old) underwent breast cancer surgery (mastectomy and sentinel lymph node dissection, mastectomy and lymphadenectomy and tumorectomy and lymphadenectomy, respectively). ESP block was performed at T2 level with ropivacaine 0.35% (30 mL) plus catheter insertion with sedation with midazolam. General anesthesia was maintained with propofol (7mg/Kg/h) and low-dose remifentanil (0.05 mcg/Kg/minute). A single dose of fentanyl (2 mcg/Kg) was used in the induction. All patients received intraoperative antiemetic prophylaxis, dexketoprofen and paracetamol. Continuous ESP block with ropivacaine 0.2% infusion (10mL/h), paracetamol and dexketoprofen were administered for postoperative pain control. Pain was measured with VAS score (0-10) when patients arrived at the post-anesthesia care unit (PACU), when they left PACU and 24 hours after surgery. ResultsPatients reported VAS of 0-1 at all endpoints without requiring any additional analgesia. After ESP catheter infusion was stopped the analgesia lasted 6-8 hours. ConclusionsESP block provides anesthesia at multi-dermatomal levels across posterior, lateral and anterior thoracic wall, making this technique suitable for breast cancer surgery. The main advantage of this block is that it may cover a greater area of the breast and the axilla. Continuous infusion ensures optimal postoperative pain control. In conclusion, we present 3 cases of complex breast cancer surgery where continuous ESP block led to an optimal perioperative pain control with a minimum use of opioids and other analgesics.
Book Synopsis Perioperative Pain Management by : Richard D. Urman
Download or read book Perioperative Pain Management written by Richard D. Urman and published by Oxford University Press. This book was released on 2013-05-23 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.
Book Synopsis Laparoscopic Cholecystectomy by : Ferdinando Agresta
Download or read book Laparoscopic Cholecystectomy written by Ferdinando Agresta and published by Springer. This book was released on 2014-05-15 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, written by expert surgeons, offers a comprehensive and up-to-date overview of all aspects of laparoscopic cholecystectomy. Coverage includes the indications for surgery, anesthesia, surgical technique, and the prevention and management of complications, with extensive reference to the latest clinical evidence and assessment of the benefits of the laparoscopic approach, for example in terms of outcomes and day surgery. New technologies, including SILS, NOTES, robotic surgery, and miniaturized instruments, are reviewed. The learning curve and training are also extensively discussed, and an individual chapter is devoted to the views of international experts in the field. Readers will find the book to be an ideal guide to this gold standard technique, which continues to evolve some 20 years after the National Institutes of Health Consensus Conference first published recommendations regarding indications for laparoscopic cholecystectomy.
Book Synopsis Regional Anesthesia and Analgesia by : David Lee Brown
Download or read book Regional Anesthesia and Analgesia written by David Lee Brown and published by Saunders. This book was released on 1996 with total page 788 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, clinically oriented text can serve as either a stand-alone reference or as a companion to the ATLAS. Sections cover the development of regional anesthesia; basic science; induction of regional anesthesia; side effects, complications, and concurrent medical problems; and clinical applications. Each chapter features excellent illustrations and "clinical pearls."
Book Synopsis Chronic Postsurgical Pain by : Gérard Mick
Download or read book Chronic Postsurgical Pain written by Gérard Mick and published by Springer Science & Business Media. This book was released on 2014-02-20 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.
Book Synopsis Ultrasound for Interventional Pain Management by : Philip Peng
Download or read book Ultrasound for Interventional Pain Management written by Philip Peng and published by Springer Nature. This book was released on 2019-09-05 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to a wide-spread developing interest in ultrasound-guided pain intervention by clinicians, the demand for a practical reference material on this topic has grown simultaneously. This book thoroughly satisfies the need for such a reference, as it contains text written by experts in the field and a multitude of unique, educational illustrations. Spinal pain, the musculoskeletal system, and peripheral structures function as the fundamental items of discussion across three divided sections. In order to augment the reader’s learning experience, the high-quality images found within each chapter provide step-by-step guidance on the various ultrasound scanning procedural processes. Additionally, tips and pearls for scan and injection supplement each chapter conclusion. Ultrasound for Interventional Pain Management: An Illustrated Procedural Guide is a pragmatic, indispensable resource that helps interested clinical practitioners enhance their visual memory and overall understanding of this method.
Book Synopsis Pediatric Regional Anesthesia by : BernardJ. Dalens
Download or read book Pediatric Regional Anesthesia written by BernardJ. Dalens and published by Routledge. This book was released on 2019-08-15 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a precise description of safe and reliable procedures for regional anesthesia in children. It covers the advantages and disadvantages, specific features related to the pediatric range of ages, and the practical importance of the described procedures. Written in two main parts, emphasis is placed on scientific basis and technical approach. It includes both anatomical and psychological aspects of pain, as well as detailed viewpoints of parents, children, surgeons, and anesthetists. This book is a must for all anesthesiologists and will be particularly useful to students of medicine and anesthesiology and nurses working with intensive care units.
Book Synopsis First Aid Perioperative Ultrasound by : Jinlei Li
Download or read book First Aid Perioperative Ultrasound written by Jinlei Li and published by Springer Nature. This book was released on 2023-03-02 with total page 668 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook is an up-to-date, evidence based quick, easy reference guide for expert regional anesthesia providers. It will also be an invaluable tool and a great entry point for amateurs' sonographers who wish to understand the basics of ultrasound, its uses for diagnosis and treatment, current guidelines and standards of care. It presents in details challenges, stratification of risks, techniques, and approaches to facilitate effective ultrasound use in perioperative pain control and emergency room pain management. This uses an outline, schematic approach for easy understanding and retention. The applications of ultrasound are vast and cover the full spectrum of ultrasound guided regional anesthesia. This book concentrates and encompasses the most clinically relevant information as a first aid use of perioperative ultrasound. The chapters are concise, focusing on clinical presentations, diagnosis, differential diagnosis which will help you to deliver patient care in a timely and skillful manner. This compact book is packed with relevant, remarkable information related to ultrasound guided techniques and evidence-based protocols and latest guidelines for regional anesthesia, nerve blocks, and opioid-reducing analgesia to promote early recovery after surgery. Concise, practical, and clinically applicable for various specialties, this book fills the unmet need for understanding the usefulness and techniques of ultrasound and its application in perioperative pain management, in particular regional anesthesia and nerve blocks. This handbook enables every physician, nurse, resident and all medical staff to understand the essentials of ultrasound and regional anesthesia, its evolving techniques, and the use of modern equipment to provide patient care safely.
Book Synopsis Perioperative Pain Management by : Felicia Cox
Download or read book Perioperative Pain Management written by Felicia Cox and published by John Wiley & Sons. This book was released on 2009-03-17 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Perioperative Pain Management is an up-to-date evidence-based guide to the effective management of perioperative pain even in the most challenging situations. It provides readers with an understanding of the physiology, pharmacology and psychology of acute pain together with guidelines for best practice. Examples of assessment documentation and guidelines for specific patient sub-groups are reproduced throughout the text.
Book Synopsis Anesthesia for Spine Surgery by : Ehab Farag
Download or read book Anesthesia for Spine Surgery written by Ehab Farag and published by Cambridge University Press. This book was released on 2012-05-17 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
Author :Peter Slinger, MD, FRCPC Publisher :Springer Science & Business Media ISBN 13 :1441901833 Total Pages :718 pages Book Rating :4.4/5 (419 download)
Book Synopsis Principles and Practice of Anesthesia for Thoracic Surgery by : Peter Slinger, MD, FRCPC
Download or read book Principles and Practice of Anesthesia for Thoracic Surgery written by Peter Slinger, MD, FRCPC and published by Springer Science & Business Media. This book was released on 2011-07-12 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Anesthesia for Thoracic Surgery will serve as an updated comprehensive review covering not only the recent advances, but also topics that haven't been covered in previously published texts: extracorporeal ventilatory support, new advances in chest imaging modalities, lung isolation with a difficult airway, pulmonary thrombo-endarterectomy, and chronic post-thoracotomy pain. Additionally, the book features clinical case discussions at the end of each clinical chapter as well as tables comprising detailed anesthetic management.
Download or read book Tagliapietra written by Lino Tagliapietra and published by Antique Collectors Club Limited. This book was released on 1998 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dedicated to one of the most important contemporary Italian glass artists, this monograph presents Lino Tagliapietra's main work of the past eight years. Tagliapietra, born in Murano in 1934 but living mainly in Seattle, is considered one of the few Muranese glass masters fully dedicated to the innovation of the century-old Venetian glass-making tradition. This high-quality reference book features beautiful, specially commissioned photographs of his masterpieces and their details.
Book Synopsis Acute Pain Management by : Pamela E. Macintyre
Download or read book Acute Pain Management written by Pamela E. Macintyre and published by . This book was released on 2010-01-01 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt:
