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Case Reports
. 2019 Jul-Sep;13(3):253-254.
doi: 10.4103/sja.SJA_186_19.

Erector spinae plane block unbound: Limits to safety in a patient with laminectomy

Victor Tseng  1 , Arjun Tara  1 , Jian Hou  1 , Jeff L Xu  1
Affiliations
Case Reports

Erector spinae plane block unbound: Limits to safety in a patient with laminectomy

Victor Tseng et al. Saudi J Anaesth. 2019 Jul-Sep.

Abstract

The erector spinae plane (ESP) block has been used to provide analgesia for multiple surgeries involving the abdomen and thorax. Like other plane blocks, the ESP block relies upon normal anatomical boundaries for predictable and safe distribution of local anesthetic. Surgical intervention can alter the anatomy and present new considerations for performing plane blocks. We present a case in which an ESP block was performed for multiple rib fractures in a patient with a recent laminectomy. Laminectomy patients present unique considerations regarding the safety of the ESP block.

Keywords: Acute pain management; Trauma; erector spinae plane block; laminectomy; patient safety; postoperative pain control; rib fracture.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) T4 level showing both right and left ESP catheters in the correct position. (b) 3D CT scan showing missing lamina/spinous process. Right ESP catheter and hardware can be visualized as well
See this image and copyright information in PMC

References

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