Successful erector spinae plane block without ultrasound guidance in a severely cardiovascular compromised patient

Preoperative physical examination revealed findings consistent with his valvular heart disease and the patient was assigned an American Society of Anesthesiologists physical status (ASA) IV. On arrival in the operating room, intravenous access was established and standard monitors were applied, incl...

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Published inJournal of clinical anesthesia Vol. 53; p. 50
Main Authors Elkoundi, Abdelghafour, Chouikh, Chakib, Baite, Abdelouahed, Bensghir, Mustapha, Bakkali, Hicham, Lalaoui, Salim Jaafar
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2019
Elsevier Limited
Subjects
Abdomen
Anesthesia
Surgery
United States > US
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Summary:Preoperative physical examination revealed findings consistent with his valvular heart disease and the patient was assigned an American Society of Anesthesiologists physical status (ASA) IV. On arrival in the operating room, intravenous access was established and standard monitors were applied, including electrocardiography, peripheral oxygen saturation, respiratory rate, and noninvasive blood pressure. After surgery, the patient also did not experience any pain for the next 24 h. This case suggests that ESPB even performed without US guidance provides adequate anesthesia and can be an alternative to conventional anesthesia in high risk patients.Conflict of interest None.Financial disclosures None.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2018.10.002