Erector spinae plane (ESP) block for postoperative analgesia in total radical mastectomy: case report
A 50-year-old female patient with an 8-year history of amass in the right breast which has undergone rapid progressive growth, involving the entire breast, over the past 7 months, diagnosed as a phyllodes tumor. Simple right mastectomy with axillary lymph node dissection and pectoralis major fascia resection were performed under general anesthesia. Ultrasound-guided erector spinae plane block was performed for postoperative analgesia, with excellent response up to 18hours following the procedure, and no need for additional opioids. There were no adverse effects or complications associated with the block.
Ultrasound-guided erector spinae block is a fast and safe procedure that may be used as a valuable adjunct to ensure postoperative analgesia in radical mastectomy cases, which pose a challenge in terms of pain control. Moreover, it offers an advantage in terms of reduced opioid requirement in these patients.
2. Krediet AC, Moayeri N, van Geffen GJ, Bruhn J, Renes S, Bigeleisen PE, et al. Different Approaches to ultrasound-guided thoracic paravertebral Block: an ilustrated review. Anesthesiology 2015; 123:459-474.
3. Hamilton DL, Manickam B. Erector spinae plane block for pain relief in rib fractures. Br J Anaesth 2017; 118:474-475.
4. Forero M, Adhikary SD, López H, Tsui C, Chin KJ. The erector Spinae plano block: a novel analgesic technique in thoracic neuropatic pain. Reg Anesth Pain Med 2016; 41:621-627.
5. Forero M, Rajarathinam M, Adhikary S, Chin KJ. Continuous erector spinae plane block for rescue analgesia in thoracotomy after epidural failure: a case report. AA Case Rep 2017; 8:254-256.
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