Brazilian Journal of Pain
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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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.


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


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.


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


Ljungqvist O, Scott M, Fearon KC. Enhenced recovery after surgery - a review. JAMA Surg. 2017;152(3):292-8.

Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41(5):621-7.

Chin KJ, Malhas L, Perlas A. The erector spinae plane block provides visceral abdominal analgesia in bariatric surgery: a report of 3 cases. Reg Anesth Pain Med. 2017;42(3):372-6.

David RA, Brooke BS, Hanson KT, Goodney PP, Genovese EA, Baril DT. Early extubation in associated with reduced length of stay and improved outcomes after elective aortic surgery in the vascular quality initiative. J Vasc Surg. 2017;66(1):79-94.

Zettervall SL, Soden P, Shean KE, Deery SE, Ultee KHJ, Alef M. Early extubation reduces respiratory complications and hospital length of stay following repair of abdominal aortic aneurysms. J Vasc Surg. 2017;65(1):58-64.

Rojas SV, Hanke JS, Haverich A, Schmitto JD. Chronic ventricular assist device support: surgical innovation. Curr Opin Cardiol. 2016;31(3):308-12.

Gerbershagen HJ, Aduckathil S, van Wijck AJ, Peelen LM, Kalkman CJ, Meissner W. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013;118(4):934-44.

Horlocker TT, Vandermeuelen E, Kopp SL, Gogarten W, Leffert LR, Benzon HT. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition). Reg Anesth Pain Med. 2018;43(3):263-309.

Adhikary SD, Bernard S, Lopez H, Chin KJ. Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study. Reg Anesth Pain Med. 2018.

Adhikary SD, Prasad A, Soleimani B, Chin KJ. Continuous erector spinae plane block as an effective analgesic option in anticoagulated patients after left ventricular assist divide implantation: a case series. J Cardiothor Vasc Anesth. 2018:12.

Gürkan Y, Aksu C, Kus A, Yörükoglu UH, Kiliç CT. Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: a randomized controlled study. J Clin Anesth. 2018;50:65-8.

Nath S, Bhoi D, Mohan VK, Talawar P. USG-guided continuous erector spinae block as a primary mode of perioperative analgesia in open posterolateral thoracotomy: a report of two cases. Saudi J Anaesth. 2018;12(3):471-4.

Tulgar S, Selvi O, Kapakli MS. Erector spinae plane block for different laparoscopic abdominal surgeries: case series. Case Rep Anesthesiol. 2018;2018:3947281.

Chin KJ, Lewis S. Opioid-free analgesia for posterior spinal fusion surgery using erector spinae plane (Esp) blocks in a multimodal anesthetic regimen. Spine. 2018:31.

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