Use of the bilateral erector spinae (ESP) block for postoperative analgesia following the removal of the Nuss bar: case report
The erector spinae plane (ESP) block is a relatively new interfascial block about which several applications have been described, both in abdominal and thoracic surgical procedures.
A 17-year old patient programed for removal of a Nuss bar through mini-thoracotomy. Following the induction with anesthesia, a US-guided bilateral ESP block was administered; no pain was reported during the immediate postoperative period and over the 48-hour follow-up.
Bilateral ESP block seems to be promising, easy to administer, and an acceptable alternative to the epidural catheter (the gold standard in the management of analgesia for thoracic surgery), providing adequate and opiate-free analgesia.
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