TY - JOUR AU - Piangatelli, Cristiano AU - Dalla Bona, Enrico AU - Tavoletti, Diego AU - RosanĂ², Elisabetta AU - Mocchegiani, Federico AU - Vivarelli, Marco AU - Cerutti, Elisabetta PY - 2020/07/01 Y2 - 2024/03/29 TI - Continuous erector spinae plane block for pain management in laparoscopic liver resection: case report JF - Colombian Journal of Anesthesiology JA - Colomb. J. Anesthesiol. VL - 48 IS - 3 SE - Case Report / Case Series DO - 10.1097/CJ9.0000000000000167 UR - https://www.revcolanest.com.co/index.php/rca/article/view/909 SP - 164-168 AB - <p class="p1">Pain after liver resection can be dif<span class="s1">fi</span>cult to manage. Epidural anesthesia (EA) isaneffective technique inpain control inthis surgery.</p><p class="p1">However, postoperative coagulopathy and hypotension due to autonomic nervous system block in high-risk patients, may result that the EA is an inadequate analgesic technique in according to enhanced recovery after surgery (ERAS) recommendations for liver surgery.</p><p class="p1">Regional block techniques have been recommended for liver surgery in ERAS guidelines.</p><p class="p1">Erector spinae plane (ESP) block is a recent block described for thoracic and abdominal surgeries and provides both somatic and visceral analgesia.</p><p class="p1">We describe a high-risk patient with cardiac dysfunction and Parkinson<span class="s1">’</span>s disease who underwent laparoscopic right liver resection for hepatocellular carcinoma.</p><p class="p1">Satisfactory intra and postoperative analgesia was achieved by a combined continuous ESP block, transversus abdominis plane (TAP), and oblique subcostal TAP blocks.</p><p class="p1">Surgery and postoperative period was uneventful. No opioids were administered during hospitalization.</p><p class="p1">A combined of thoracic and abdominal wall blocks can be an effective approach for intra and postoperative analgesia in highrisk patients undergoing laparoscopic liver resection.</p><p class="p1">Further clinical research is recommended to establish the effectiveness of the ESP block as an analgesic technique in this surgery.</p> ER -