Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series
Diwan, S., Nair, A., Adhye, B., Bhong, G., Sancheti, P. (2023). Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series. EKB Journal Management System, 15(1), -. doi: 10.1186/s42077-023-00380-0
Sandeep Diwan; Abhijit Nair; Bharati Adhye; Ganesh Bhong; Parag Sancheti. "Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series". EKB Journal Management System, 15, 1, 2023, -. doi: 10.1186/s42077-023-00380-0
Diwan, S., Nair, A., Adhye, B., Bhong, G., Sancheti, P. (2023). 'Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series', EKB Journal Management System, 15(1), pp. -. doi: 10.1186/s42077-023-00380-0
Diwan, S., Nair, A., Adhye, B., Bhong, G., Sancheti, P. Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series. EKB Journal Management System, 2023; 15(1): -. doi: 10.1186/s42077-023-00380-0

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  XML PDF (805.53 K)
DOI: 10.1186/s42077-023-00380-0
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Authors
Sandeep Diwan; Abhijit Nair email orcid ; 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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