Erector spinae plane block for post-surgical analgesia in tumor resection compromising the shoulder girdle

• Published in: Journal of clinical anesthesia Vol. 67; p. 110026
• Main Authors: Muñoz, David, Orozco, Sergio, Jaramillo, Santiago, Hurtado, Catalina, Herrera, Ana Milena
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2020; Elsevier Limited
• Subjects: Anesthesia; Pain; Patients; Surgery
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2020.110026

The first patient was a 45 years old man with a malignant tumoral lesion of soft tissue (5 × 6 cm) over the scapula who required myotomy, fasciotomy, and upper limb rotational flap beside the tumor resection procedure. [...]an ultrasound-guided aseptic technique with a high-frequency linear transactor was used to locate the transverse process of T4, where an echogenic 50 mm needle was inserted in a cephalocaudal direction until reaching the space between the fascia of the erector spinae and the transverse process of T4 (Fig. 1). The results obtained in terms of post-surgical analgesia in these two cases show that perioperative pain control after tumoral resections compromising the shoulder girdle in adult patients can be achieved using the ESPB.