Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210019
Brazilian Journal of Pain
Case Report

Lumbar erector spinae plane block for total hip arthroplasty analgesia. Case report

Bloqueio do plano eretor da espinha lombar para analgesia de artroplastia total de quadril. Relato de caso

Artur Salgado de Azevedo; Hermann dos Santos Fernandes; Waldir Cunha Júnior; Adilson Hamaji; Hazem Adel Ashmawi

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Abstract

BACKGROUND AND OBJECTIVES: Total hip replacement surgeries may result in intense postoperative pain. There are many analgesia techniques available in clinical practice and lumbar erector spine plane (LESP) block may be an option of an effective technique with milder adverse effects and easier execution.

CASE REPORT: Female patient, 23-year-old, allergic to morphine and tramadol, underwent a total left hip arthroplasty under mild sedation, no opioid spinal anesthesia and ultrasound guided LESP. After the surgery the patient’s pain was under control, and methadone rescue analgesia was not used.

CONCLUSION: LESP block is easy to perform and may be effective for postoperative analgesia in hip surgeries, with fewer adverse effects than other techniques.

Keywords

Analgesia, Anesthesia conduction, Arthroplasty replacement hip

Resumo

JUSTIFICATIVA E OBJETIVOS: Artroplastia total de quadril pode evoluir com dor pós-operatória intensa. Há várias técnicas disponíveis na prática clínica para analgesia. O bloqueio do plano eretor da espinha lombar (LESP block) pode ser uma opção efetiva, de fácil execução e efeitos adversos mais leves.

RELATO DO CASO: Paciente do sexo feminino, 23 anos, alérgica a morfina e tramadol, submetida à artroplastia total de quadril sob sedação leve, anestesia subaracnóidea sem opioides e LESP block guiado por ultrassonografia. Evoluiu com controle de dor efetivo, sem uso de metadona de resgate.

CONCLUSÃO: LESP block é fácil de ser executado, pode ser efetivo para analgesia pós-operatória de cirurgias de quadril e apresenta menos efeitos adversos que outras técnicas.

Palavras-chave

Analgesia, Anestesia regional, Artroplastia de quadril

References

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Submitted date:
12/28/2020

Accepted date:
02/08/2021

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