Erector spinae plane block as a rescue analgesia technique in a patient with HeartMate 3 ventricular assist type device: case report

  • Lizette Benavides Anesthesiology and Resuscitation Postgraduate Program, Department of Surgery, Universidad Industrial de Santander, Bucaramanga, Colombia
  • Rubén Heredia Anesthesiology and Resuscitation Postgraduate Program, Department of Surgery, Universidad Industrial de Santander, Bucaramanga, Colombia
  • Luz J. Pacheco Cardiovascular Anesthesia, Department of Cardiovascular Surgery, Fundación Cardiovascular de Colombia, Floridablanca, Colombia
  • Leonardo Salazar Ecmo-Vad Group, Fundación Cardiovascular de Colombia, Floridablanca, Colombia
Keywords: Heart-assist devices, Pain, Analgesia, Nerve block, Postoperative pain

Abstract

Introduction:

Heart failure represents a public health problem involving high morbidity and mortality. For advanced stages of the disease the use of ventricular assist devices (VADs) has been implemented as destination therapy. The perioperative management of patients with VADs may result in multiple challenges, with optimal pain management being one of those challenges.

Objective:

To describe the use of erector spinae plain (ESP) block as a rescue analgesia technique in a patient undergoing HeartMate 3 type VAD implantat.

Methods:

Case report and subject review.

Results:

The case discussed is a patient with ischemic cardiomyopathy and severe ventricular dysfunction, undergoing a HeartMate 3 type VAD implant as destination therapy, under general anesthesia and postoperative analgesia protocol with fentanyl and acetaminophen. During the postoperative period the patient developed acute pain of severe intensity (visual analogue scale [VAS]: 8-10/10), that led to the use of a regional rescue technique-ESP block-that showed satisfactory results with optimal analgesia control (VAS: 1-3/10).

Conclusion:

The ESP block was a safe and effective option as part of a postoperative analgesia strategy for a patient with a HeartMate 3 type VAD implant.

References

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How to Cite
1.
Benavides L, Heredia R, Pacheco LJ, Salazar L. Erector spinae plane block as a rescue analgesia technique in a patient with HeartMate 3 ventricular assist type device: case report. Colomb. J. Anesthesiol. [Internet]. 2020Jan.1 [cited 2021May10];48(1):40-4. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/167

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Published
2020-01-01
How to Cite
1.
Benavides L, Heredia R, Pacheco LJ, Salazar L. Erector spinae plane block as a rescue analgesia technique in a patient with HeartMate 3 ventricular assist type device: case report. Colomb. J. Anesthesiol. [Internet]. 2020Jan.1 [cited 2021May10];48(1):40-4. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/167
Section
Case Report / Case Series

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