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To the Editor: Percutaneous nephrolithotomy (PCNL) is a surgical procedure commonly used to treat large kidney stones. It is usually accompanied by severe pain and discomfort postoperatively. Intravenous opioids and local anesthetic infiltration have been conventionally used to control postoperative pain. In addition, regional blocks, for example, the paravertebral block and intercostal block, have been attempted. However, the efficacy of these blocks for analgesia has not been established yet.[1] Erector spinae plane block (ESPB) reportedly provides effective analgesia after thoracic and abdominal surgery.[2,3] We describe a patient in whom continuous ESPB was used to provide highly effective analgesia after PCNL.

The Erector Spinae Plane Block for Postoperative Analgesia after Percutaneous Nephrolithotomy