Open AccessESP-block in thoracic surgery: a case report
Author(s) -
Anatoliy V. Stukalov,
Стукалов Анатолий Владимирович,
Roman E. Lakhin,
Roman E. Lakhin,
Е.Н. Ершов,
Ершов Евгений Николаевич
Publication year - 2021
Publication title -
regionarnaâ anesteziâ i lečenie ostroj boli
Language(s) - English
Resource type - Journals
eISSN - 2687-1394
pISSN - 1993-6508
DOI - 10.17816/1993-6508-2021-15-1-57-62
Subject(s) - medicine , levobupivacaine , thoracotomy , anesthesia , fentanyl , cardiothoracic surgery , surgery , bupivacaine
This report presents a clinical case of combined anesthesia in a patient with videothoracoscopic atypical resection of the right lung. In the operating room, the patient underwent ultrasound-assisted blockade in the plane of the m. erector spinae (ESP block) using 20 mL of 0.375% levobupivacaine solution, after which general anesthesia was induced. Opioid consumption per surgery was 0.3 mg of fentanyl. In the postoperative period, high-quality multimodal pain relief was achieved without the use of opioids. Within 7 h after the operation, the patient could actively expectorate with minimal discomfort. The article demonstrates the possibility of the effective application of the ESP block to reduce the risk of respiratory complications during lung surgery and to prevent the development of neuropathic post-thoracotomy pain syndrome.