The Role of Continuous Erector Spinae Plane Block in Prolonged Analgesia for Open Hepatopancreatic Surgery - A Case Series

In this case series, we explore the use of the Erector Spinae Plane Block (ESPB) for pain management in hepatobiliopancreatic surgeries. Initially identified in 2016, ESPB has been effective in various surgeries, offering an alternative to traditional opioid-based analgesia. This study focused on 10 patients undergoing surgeries with subcostal incisions, assessing ESPB's impact on pain reduction and opioid consumption. Results showed that ESPB significantly reduced postoperative pain, with most patients reporting low pain levels. Opioid use was minimal, and patient satisfaction was high. Notably, the study found ESPB to be safe, with minimal side effects and no significant complications. These findings suggest ESPB as a viable and effective technique for pain management in complex surgeries, supporting its broader application and further research.