Bilateral high thoracic continuous erector spinae plane blocks for postoperative analgesia in a posterior cervical fusion

Posterior decompression and instrumentation of the cervical spine are associated with severe postoperative pain due to extensive soft tissue and muscle dissection during the surgery. In this case series, we describe bilateral continuous cervical erector spinae plane block (CESPB) placed at T1-2 thro...

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Bibliographic Details
Published inSaudi journal of anaesthesia Vol. 14; no. 4; pp. 535 - 537
Main Authors Diwan, Sandeep, Koh, Won, Chin, Ki, Nair, Abhijit
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.10.2020
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
acute pain; cervical spine fusion; erector spinae plane block; regional anesthesia; ultrasound
Analgesia
Anesthesia
Back surgery
Case Report
Dexmedetomidine
erector spinae plane block
Acute pain
cervical spine fusion
ultrasound
regional anesthesia
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Summary:Posterior decompression and instrumentation of the cervical spine are associated with severe postoperative pain due to extensive soft tissue and muscle dissection during the surgery. In this case series, we describe bilateral continuous cervical erector spinae plane block (CESPB) placed at T1-2 through the thoracic erector spinae plane. A series of 4 patients underwent posterior cervical decompression and stabilization for various surgical indications. The CESPB block provides intense analgesia with low requirements of anesthetic drugs in the perioperative period and opioid-free analgesia in the postoperative period. The spread of local anesthetic was studied by performing CT contrast studies after obtaining informed consent.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.SJA_642_19