Erector spinae plane (ESP) block for postoperative analgesia in total radical mastectomy: case report

  • Elba Orozco a. Hospital Universitario de Santander, Bucaramanga, Colombia. b. Anaesthesia and Resuscitation Graduate Program, Universidad Industrial de Santander, Bucaramanga, Colombia.
  • Rafael Enrique Serrano a. Hospital Universitario de Santander, Bucaramanga, Colombia. b. Anaesthesia and Resuscitation Graduate Program, Universidad Industrial de Santander, Bucaramanga, Colombia.
  • Viviana Pahola Rueda-Rojas Third year resident of Anaesthesia and Resuscitation, Universidad Industrial de Santander, Bucaramanga, Colombia.
Keywords: Pain, Postoperative, Analgesia, Mastectomy, Case Reports, Nerve Block

Abstract

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.

Conclusions:

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.

References

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How to Cite
1.
Orozco E, Serrano RE, Rueda-Rojas VP. Erector spinae plane (ESP) block for postoperative analgesia in total radical mastectomy: case report. Colomb. J. Anesthesiol. [Internet]. 2018Dec.1 [cited 2021Jan.21];46(Supplement):66-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/146

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Published
2018-12-01
How to Cite
1.
Orozco E, Serrano RE, Rueda-Rojas VP. Erector spinae plane (ESP) block for postoperative analgesia in total radical mastectomy: case report. Colomb. J. Anesthesiol. [Internet]. 2018Dec.1 [cited 2021Jan.21];46(Supplement):66-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/146
Section
Case Report / Case Series

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