Continuous lumbar erector spinae plane block for postoperative pain management in revision hip surgery: a case report
Bloqueio contínuo do plano do eretor da espinha lombar para o controle da dor pós-operatória em procedimento de revisão de cirurgia do quadril: relato de caso
Sakura Kinjo, Alison Schultz
Abstract
The number of total hip arthroplasty cases performed each year continues to increase; accordingly, so does the number of revision total hip arthroplasty procedures. While our traditional method of analgesia for these patients has involved multimodal medications and a continuous lumbar plexus block, we report two cases of patients who received continuous lumbar erector spinae plane blocks. Both patients exhibited excellent pain control postoperatively and were able to discharge home on postoperative day one. This case report illustrates the possible utility of continuous erector spinae plane blocks for postoperative analgesia in the more frequently occurring revision total hip arthroplasty surgeries.
Keywords
Resumo
O número de artroplastias totais de quadril feitas a cada ano continua a aumentar; consequentemente, o mesmo acontece com o número de procedimentos de revisão de artroplastia total de quadril. Embora nosso método tradicional de analgesia para esses pacientes tenha envolvido medicações multimodais e um bloqueio contínuo do plexo lombar, relatamos dois casos de pacientes que receberam bloqueios contínuos do músculo eretor da coluna lombar. Ambos apresentaram excelente controle da dor pós-operatória e obtiveram alta hospitalar no primeiro dia de pós-operatório. Este relato de caso ilustra a possível utilidade do bloqueio contínuo do plano do eretor da espinha para analgesia pós-operatória nas cirurgias, cada vez mais frequentes, de revisão de artroplastia total do quadril.
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References
1. Kurtz S, Ong K, Lau E, et al. Projections of primary and revision hip and knee arthroplasty in the united states from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780---5.
2. Singh JA. Epidemiology of knee and hip arthroplasty: a systematic review. Open Orthop J. 2011;5:80---5.
3. Namba RS, Inacio MC, Pratt NL, et al. Postoperative opioid use as an early indication oftotal hip arthroplasty failure. Acta Orthop. 2016;87 Suppl. 1:37---43.
4. Forero M, Adhikary SD, Lopez H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41:621---7.
5. Chin KJ, Adhikary S, Sarwani N, et al. The analgesic efficacy of pre-operative bilateral erector spinae plane (esp) blocks in patients having ventral hernia repair. Anaesthesia. 2017;72:452---60.
6. Kimachi PP, Martins EG, Peng P, et al. The erector spinae plane block provides complete surgical anesthesia in breast surgery. A case report. A A Pract. 2018.
7. Wong J, Navaratnam M, Boltz G, et al. Bilateral continuous erector spinae plane blocks for sternotomy in a pediatric cardiac patient. J Clin Anesth. 2018;47:82---3.
8. Tulgar S, Senturk O. Ultrasound guided erector spinae plane block at L-4 transverse process level provides effective postoperative analgesia for total hip arthroplasty. J Clin Anesth. 2018;44:68.
9. Darling CE, Pun SY, Caruso TJ, et al. Successful directional thoracic erector spinae plane block after failed lumbar plexus block in hip joint and proximal femur surgery. J Clin Anesth. 2018;49:1---2.
10. Tulgar S, Selvi O, Senturk O, et al. Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries. J Clin Anesth. 2018;47:5---6.
11. Ivanusic J, Konishi Y, Barrington MJ. A cadaveric study investigating the mechanism of action of erector spinae blockade. Reg Anesth Pain Med. 2018;43:567---71.
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