Why the study?
The choice of an effective analgesic and anesthetic technique usually poses a challenge in polytrauma patients requiring satisfactory pain control and emergency surgery.
Does bilateral continuous erector spinae plane block provide effective analgesia in a polytrauma patient on anticoagulant therapy?
Does bilateral continuous erector spinae plane block provide effective analgesia in a polytrauma patient on anticoagulant therapy?
Continuous erector spinae plane block can provide effective, opioid-sparing analgesia in polytrauma patients on anticoagulants.
Answers are grounded in this paper and cite their sources.
May offer regional analgesia option in anticoagulated polytrauma; leaves open prospective trials before wider adoption.
The choice of an effective analgesic and anesthetic technique usually poses a challenge in polytrauma patients requiring satisfactory pain control and emergency surgery. In this case report, we describe a patient under anticoagulant therapy who presented to the emergency department with multiple fractures of the thoracic and lumbar area and needed emergency splenectomy and thoracic drainage placement. The use of the bilateral continuous erector spinae plane block, a novel interfascial plane block, ensured satisfactory analgesic efficacy, without side effects and was helpful in avoiding the use of opioids.
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Petrucci et al. (2024) studied this question.
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