Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia

Hepatobiliary surgeries are associated with severe pain, and coagulopathy. Adequate pain control is vital and difficult to achieve for these patients. Epidural analgesia is considered the routine standard technique for the management of both somatic and visceral pain from major abdominal surgeries u...

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Bibliographic Details
Published inEgyptian journal of anaesthesia Vol. 34; no. 4; pp. 169 - 172
Main Authors Ayub, Arshad, Talawar, Praveen, Kumar, Rakesh, Bhoi, Debesh, Singh, Ajay Yadav
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.10.2018
Taylor & Francis
Taylor & Francis Group
Subjects
Erector Spinae Block
Hepatic surgery
Thrombocytopenia
Thrombocytopenia
Erector Spinae Block
Hepatic surgery
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Summary:Hepatobiliary surgeries are associated with severe pain, and coagulopathy. Adequate pain control is vital and difficult to achieve for these patients. Epidural analgesia is considered the routine standard technique for the management of both somatic and visceral pain from major abdominal surgeries until now. However, it is invasive, blind and carries the risk of dural or vascular puncture. Coagulopathy found in patients posted for hepatobiliary surgery further increases the concerns. We found ultrasound guided erector spinae plane block as a safe, simple yet an effective alternative to epidural analgesia for postoperative pain management of hepatobiliary surgeries.
ISSN:1110-1849
1687-1804
1110-1849
DOI:10.1016/j.egja.2018.08.001