Effective Analgesia with Bilateral Erector Spinae Plane Catheters for a Patient with Traumatic Rib and Spine Fractures
Joint Authors
Schroeder, Kristopher M.
Klesius, L.
Source
Case Reports in Anesthesiology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-08
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Pain management in trauma patients with acute rib and spine fractures presents a challenge for the anesthesiologist and achieving adequate analgesia is important in preventing pulmonary complications.
Unfortunately, neuraxial techniques are often challenging or contraindicated due to spine fractures or coagulopathy.
Erector spinae plane (ESP) blocks provide an alternative regional anesthetic technique to manage pain.
We describe a case of bilateral ESP catheters placed intraoperatively after spinal instrumentation in a patient with bilateral rib and spine fractures sustained in a tractor rollover crash.
Prior to surgery, the patient had inadequate pain control and poor respiratory function despite multimodal analgesia.
With the addition of bilateral ESP catheters, the patient’s pain control improved and he was weaned from respiratory support.
ESP blocks have been shown to provide effective analgesia in patients with rib fractures; however, the utilization of these blocks has not been described in patients with spine fractures undergoing spinal instrumentation.
Thus, ESP blocks provide a simple alternative to providing surgical and trauma analgesia when neuraxial techniques are contraindicated.
The success of bilateral ESP catheters in our patient indicates a further area for application of ESP blocks in patients undergoing spine surgery with acute traumatic spine fractures.
American Psychological Association (APA)
Klesius, L.& Schroeder, Kristopher M.. 2019. Effective Analgesia with Bilateral Erector Spinae Plane Catheters for a Patient with Traumatic Rib and Spine Fractures. Case Reports in Anesthesiology،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1133504
Modern Language Association (MLA)
Klesius, L.& Schroeder, Kristopher M.. Effective Analgesia with Bilateral Erector Spinae Plane Catheters for a Patient with Traumatic Rib and Spine Fractures. Case Reports in Anesthesiology No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1133504
American Medical Association (AMA)
Klesius, L.& Schroeder, Kristopher M.. Effective Analgesia with Bilateral Erector Spinae Plane Catheters for a Patient with Traumatic Rib and Spine Fractures. Case Reports in Anesthesiology. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1133504
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133504