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Nonobstetric operations are sometimes necessary during pregnancy, with an estimated incidence of about 2% among pregnant women. In recent years, laparoscopic procedures have been preferred for abdominal surgery in pregnancy, as these are well tolerated by both the mother and fetus during all trimesters of pregnancy.[1, 2] Postoperative pain management is important for pregnant patients undergoing a nonobstetric procedure, as pain may increase the risk of premature labor. For pain management during pregnancy, paracetamol is the drug of choice, and nonsteroidal anti-inflammatory drugs should be avoided. Regional blockade techniques are preferred, as they reduce the risk of opioidinduced hypoventilation.[3] Among regional block techniques, ultrasound (US)-guided erector spinae plane block (ESPB) is a novel interfacial plan block, which was first described by Forero et al. in 2016 as a treatment for thoracic neuropathic pain.[4] There are a number of case reports in the literature on the analgesic effect of ESPB after laparoscopic surgeries. [5] To our knowledge, this is the first report of ESPB performed for a pregnant patient as postoperative rescue analgesia. Written informed consent was obtained from the patient for this report.

Erector spinae plane block as rescue analgesia in gestational week 16