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Erector spinae block for laparoscopic cholecystectomy
Author(s): ,
Magalhães, J.*
Affiliations:
Hospital Senhora da Oliveira, Anesthesiology, Guimarães, Portugal
,
Antunes, C.
Affiliations:
Hospital Senhora da Oliveira, Anesthesiology, Guimarães, Portugal
,
Jesus, T.
Affiliations:
Hospital Senhora da Oliveira, Anesthesiology, Guimarães, Portugal
Ferreira, S.
Affiliations:
Hospital Senhora da Oliveira, Anesthesiology, Guimarães, Portugal
ESRA Academy. Marinho Magalhaes J. Sep 13, 2017; 190950
Topic: PROCEDURE BASED - EVIDENCE BASED RA AND PERIOPERATIVE ANALGESIA
Dr. Joana Maria Marinho Magalhaes
Dr. Joana Maria Marinho Magalhaes

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Abstract
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Background and Aims:

Despite the first description of cases for thoracic procedures (acute or chronic pain syndromes), Forero also describe ESP block for upper abdominal surgery. The authors present one case of using ESB for laparoscopic cholecystectomy and comparing it with another patient submitted to the same procedure. The main goal was comparing intra and postoperative opioid analgesic consumption.

Methods:
  Patient 1 Patient 2
Age 45 47
Medical past High blood pressure (HBP)HBP

Both patients were submitted to general anesthesia with fentanyl 0,15 mg, propofol 200 mg and rocuronium 50 mg. Patient 1 was previously submitted to ultrasound guided ESP B using a parassagital in plane approach, linear probe and 50 mm needle in T7 level and injected 20 mL of 0,375% ropivacaine (LA) under the erector spinae muscle. Both patients receive paracetamol 1g, cetorolac 30 mg and dexamethasone 4mg.

Results:

During surgery, patient 2 need more 0,15 mg fentanyl to achieve the same analgesic relief, comparing to patient 1. In the postoperative period, patient 2 need 2 mg of morfine.


Conclusions:

Despite not associated to severe pain, ESP block could be a reliable, safe and easy technique in laparoscopic cholecystectomy analgesia, sparing opioid consumption during all perioperative period. 

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