Continuous Erector Spinae Plane (ESP) Analgesia In Different Open Abdominal Surgical Procedures: A Case Series
Zubair Tariq1, Niraj, G2*
Affiliation
1Speciality Doctor in Anaesthesia, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Gwendolen Road, Leicester, UK
2Consultant in Anaesthesia & Pain Medicine, Clinical Research Unit of Pain Medicine, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Gwendolen Road, Leicester, UK
Corresponding Author
Dr. G Niraj, Consultant in Anaesthesia & Pain Medicine, Clinical Research Unit in Pain Medicine, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, Fax: 0116258 4661; E-mail: niraj.g@nihr.ac.uk
Citation
Niraj, G., et al. Continuous Erector Spinae Plane (ESP) Analgesia In Different Open Abdominal Surgical Procedures: A Case Series. (2018) J Anesth Surg 5(1): 57- 60.
Copy rights
© 2018 Niraj, G. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
There has been a significant shift away from epidural analgesia following open abdominal surgery within an enhanced recovery programme. Various alternative techniques have been reported but suffer from limitations. Continuous erector spinae plane block have been described inlower abdominal surgery. Adult patients undergoingopen upper abdominal surgery, where thoracic epidural analgesia was refused or contraindicated, were offered continuous erector spinae analgesia. Surgical procedures included radical nephrectomy via a roof top incision, open nephrectomy via flank incision, liver resection, radical cystectomy and emergency laparotomy. Although erector spinae analgesia provides some visceral analgesia, it may be premature to rule that erector spinae analgesia can provide effective visceral analgesia and thereby avoid opioid supplementation following major open abdominal surgery. Continuous erector spinae plane analgesia may have the potential to be the analgesic technique of choice for providing somatic analgesia following any surgery on the abdomen.