Erector Spinae Plane Blocks in Major Hepatopancreaticobiliary Surgery: A Case Series

A&A Practice
Shrijit NairNiamh P Conlon

Abstract

Hepatopancreaticobiliary (HPB) surgery is major upper abdominal surgery with considerable risk of pulmonary complications related to postoperative pain. While epidural analgesia remains an effective analgesic technique for upper abdominal surgery, HPB surgery poses challenges to its use due to coagulopathy. Erector spinae plane (ESP) blocks are a promising alternative to epidurals. Injection of local anesthetic deep to the erector spinae muscle plane and placement of a catheter for prolonged effect provide both somatic and visceral analgesia for both thoracic and abdominal surgery. We describe a series of 3 cases that illustrate the efficacy of ESP blocks after major HPB surgery.

Associated Clinical Trials

References

Apr 20, 2002·Lancet·John R A RiggUNKNOWN MASTER Anaethesia Trial Study Group
Jun 28, 2012·British Journal of Anaesthesia·J HermanidesP Lirk
Dec 2, 2015·Anaesthesia·D Reddi
Aug 9, 2016·Regional Anesthesia and Pain Medicine·Mauricio ForeroKi Jinn Chin
Feb 17, 2017·British Journal of Anaesthesia·D L Hamilton, B Manickam
Mar 9, 2017·Regional Anesthesia and Pain Medicine·Ki Jinn ChinAnahi Perlas
Jan 18, 2018·Revista española de anestesiología y reanimación·J C Luis-NavarroJ L López-Romero
May 11, 2018·Regional Anesthesia and Pain Medicine·Jason IvanusicMichael J Barrington

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