Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180070
Brazilian Journal of Pain
Case Report

Erector spinae plane block for perioperative analgesia in cardiac surgery. Case report

Bloqueio do plano eretor espinhal para analgesia perioperatória em cirurgia cardíaca. Relato de caso

Ricardo Kenithi Nakamura; Felipe Chiodini Machado; Leonardo Sérgio Rocha Novais

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Abstract

BACKGROUND AND OBJECTIVES: The anesthetic management has evolved with the use of alternative techniques that promote greater safety, quick recovery and comfort in the perioperative period. The erector spinae plane block emerges as a promising alternative that can be employed as a simple analgesic technique for thoracic analgesia, acute post-surgical, post-traumatic and chronic neuropathic thoracic pain.

CASE REPORT: Female patient, 72-year-old, undergoing aortic valve replacement surgery under general anesthesia associated with an erector spinae plane block as a technique for perioperative pain management.

CONCLUSION: We demonstrate with this case report that the erector spinae plane block can be a suitable option as a regional analgesia technique for cardiac surgery, used perioperatively as a regional block for multimodal analgesia. Further research and studies are needed to address its efficacy and safety for multiple cardiac and aortic surgery techniques.

Keywords

Erector spinae plane block, Fast-track, Enhanced recovery after surgery

Resumo

JUSTIFICATIVA E OBJETIVOS: O manuseio anestésico evoluiu com o uso de técnicas alternativas que promovem maior segurança, rápida recuperação e conforto no período perioperatório. O bloqueio do plano eretor espinhal surge como uma alternativa promissora que pode ser empregada como uma técnica analgésica simples para analgesia torácica, dor torácica aguda pós-cirúrgica, pós-traumática e crônica neuropática.

RELATO DO CASO: Paciente do sexo feminino, 72 anos, submetida à cirurgia de troca valvar aórtica sob anestesia geral associada ao bloqueio do plano eretor espinhal, como técnica para o manuseio da dor no período perioperatório.

CONCLUSÃO: O presente relato demonstrou que o bloqueio do plano eretor espinhal pode ser uma opção adequada como uma técnica de analgesia regional para cirurgia cardíaca, usada no perioperatório como um bloqueio regional para analgesia multimodal. Mais pesquisas e estudos são necessários para abordar sua eficácia e segurança para múltiplas técnicas de cirurgia cardíaca e aórtica.

Palavras-chave

Bloqueio do plano eretor espinhal, Fast-track, Recuperação aprimorada após a cirurgia

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Submitted date:
07/11/2018

Accepted date:
09/17/2018

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