Lumbar Erector Spinae Plane Block as a Main Anesthetic Method for Hip Surgery in High Risk Elderly Patients: Initial Experience with a Magnetic Resonance Imaging

The Eurasian Journal of Medicine
Ali AhiskaliogluMuhammed Enes Aydin

Abstract

Since initial description by Forero for thoracic region, ultrasound guided erector spinae plane (ESP) block has experienced several surgeries for postoperative pain management, chronic pain or surgical anesthesia. Although ESP block has been reported to provide effective analgesia in the thoracic region, its effect in lumbar region still unclear. In this study we aimed to showed our successful experience with lumbar ESP block as a main anesthetic technique in fifteen high risk elderly patients undergoing hip surgery with mild propofol sedation. In this observational study high risk elderly fifteen patients received lumbar ESP block as a main anesthetic technique with mild propofol sedation. 40 mL of local anesthetic mixture (20 mL bupivacaine 0.5%, 10 mL lidocaine 2%, and 10 mL normal saline) was administered between the erector spinae muscles and transverse process at the level of the 4th lumbar vertebra. Also we demonstrate magnetic resonance images and discuss the anatomic basis of lumbar ESP block. All patients' surgeries were completed without requirement for general anesthesia or local anesthesia infiltration of the surgical site. All patients' pain scores were <2/10 in the recovery room. Significant contrast spread was o...Continue Reading

Citations

Oct 26, 2020·International Journal of Clinical Practice·Muhammed Enes AydinAli Ahiskalioglu
Dec 10, 2020·Pain Practice : the Official Journal of World Institute of Pain·Shaimaa F MostafaMohamed M Abu Elyazed
Jan 7, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ki Jinn Chin, Kariem El-Boghdadly
Feb 12, 2021·Regional Anesthesia and Pain Medicine·Serkan TulgarYavuz Gürkan
Apr 14, 2021·Journal of Clinical Anesthesia·Artur S AzevedoHermann S Fernandes
Nov 7, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Bahadir CiftciYavuz Demiraran
Jun 20, 2021·Regional Anesthesia and Pain Medicine·David H KimStavros G Memtsoudis

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