Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series | ||||
Ain-Shams Journal of Anesthesiology | ||||
Volume 15, Issue 1, January 2023 PDF (805.53 K) | ||||
DOI: 10.1186/s42077-023-00380-0 | ||||
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Authors | ||||
Sandeep Diwan; Abhijit Nair ; Bharati Adhye; Ganesh Bhong; Parag Sancheti | ||||
Abstract | ||||
Background Patients with polytrauma (fractures of the humerus and the femur) require concurrent operative fixation. Pain originating from multiple operative sites leads to increasing doses of opioid-based analgesia, which has detrimental effects in the form of longer hospital stays, higher costs, and increased mortality. Case presentation In twelve patients with humerus and femur fractures, a cervical erector spinae plane block (ESPB) at the level of T1 and a lumbar ESPB at the level of L2 were administered with a catheter and continuous infusion technique for postoperative analgesia. None of these patients required opioids in the postoperative period. The catheters were removed after 48 h. Conclusions A dual ESPB can be used successfully in patients with multiple injuries by appropriately selecting the level of intervention, and opioid-sparing analgesia can be effectively delivered to these patients. | ||||
Keywords | ||||
Acute pain; Erector Spinae; polytrauma; Regional anesthesia; Ultrasonography | ||||
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