Key result
Erector spinae plane blockage with 20mL of 0.5% ropivacaine provided an important decrease in pain intensity and improvement of pulmonary expansibility in a patient after cardiac surgery.
Why the study?
Postoperative thoracic pain is common with opioid-only analgesia and prolongs recovery, while erector spinae plane block is a promising technique for postoperative analgesia in cardiac surgery.
Does erector spinae plane blockage improve postoperative analgesia in a patient undergoing cardiac surgery?
Case Report (n=1)
Does erector spinae plane blockage improve postoperative analgesia in a patient undergoing cardiac surgery?
Erector spinae plane blockage with ropivacaine may be an effective therapeutic option for managing severe postoperative pain following cardiac surgery.
Answers are grounded in this paper and cite their sources.
May warrant ESPB consideration for refractory post-cardiac surgery pain; hypothesis-generating, does not support practice change.
BACKGROUND AND OBJECTIVES: Persistence of pain in the postoperative thoracic region is very common with conventional analgesia performed only with opioids, which prolongs recovery, increasing costs and morbidity. Erector spinae plane blockage is a promising technique for the analgesic control in the postoperative period of cardiac surgeries. The purpose of this study was to describe a case in which erector spinae plane blockage provided adequate postoperative analgesic control. CASE REPORT: A 61-year-old male patient submitted to elective cardiac surgery for left ventricular aneurysmectomy and coronary artery bypass grafting. On the first postoperative day presented pain of intensity 8 on the visual analog scale in the left hemithorax. The patient underwent erector spinae plane blockage with a catheter located at T5 guided by ultrasound with a 17G Tuohy needle and injection of 20mL of 0.5% ropivacaine providing important decrease and improvement of pulmonary expansibility. CONCLUSION: Erector spinae plane blockage provided adequate analgesia and was considered a good therapeutic option.
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Elmiro et al. (2021) conducted a case report in Postoperative pain after cardiac surgery (n=1). Erector spinae plane blockage was evaluated on Pain intensity and pulmonary expansibility. Erector spinae plane blockage with 20mL of 0.5% ropivacaine provided an important decrease in pain intensity and improvement of pulmonary expansibility in a patient after cardiac surgery.
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