The Erector Spinae Plane Block Provides Complete Surgical Anesthesia in Breast Surgery: A Case Report

We described the first ultrasound-guided erector spinae plane block that provided complete surgical anesthesia for a right-sided mastectomy and axillary dissection in a patient with high cardiovascular risk. The block targeted at T5, and 20 mL of 0.5% ropivacaine with epinephrine 1:200,000 and dexamethasone 8 mg was administered. Complete anesthesia was accomplished in 20 minutes, and the patient received propofol infusion for sedation. The patient reported no pain and remained hemodynamically stable throughout the 2.5-hour procedure. At the end of the surgery, patient received morphine 2 mg and dipyrone 2 g intravenously, and demanded no analgesic until 24 hours after the procedure.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research

Related Links:

Authors: Alshahrani MS Abstract OBJECTIVES: To evaluate the attitudes of pregnant women towards different forms of labor pain relief, preferred methods of pain relief, and the effects of social media on their awareness and knowledge. METHODS: This was a cross-sectional study conducted between April and August 2017 in the Maternity and Children's Hospital, Najran, Saudi Arabia. A total of 416 pregnant women were interviewed and analyzed using IBM Sstatistical Package for Social Sciences version 20 (IBM Corp, Armonk, NY, USA). RESULTS: A total of 62.7% were aware of labor pain. However, 58.7% of the total sam...
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research
Authors: Hao J, Dong B, Zhang J, Luo Z Abstract OBJECTIVES:   To evaluate whether pre-emptive analgesia is an effective technique to reduce postoperative delirium (PD) in geriatric patients with hip fracture. METHODS: This is a double-blind randomized clinical trial. Ninety elderly patients scheduled for hipfracture surgery at HongHui Hospital, Xi'an Jiaotong University, Xi'an, China  between March 2018 and January 2019 were divided into 2 groups. On arrival at the emergency department, the experimental group (n=44) received ultrasound-guided continuous fascia iliaca compartment block (...
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research
Hi all, For those doing or have completed a pain fellowship, what is the best way to learn? Are there any great resources/textbooks/videos that are helpful? I am now about 1 month in and although the teaching is good at my program, I feel as though I haven't even touched the tip of the iceberg and am trying to figure out where to go from here. Any advice is greatly appreciated!
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Conditions:   Pain;   Depressive Symptoms;   Frailty;   Aging Intervention:   Behavioral: DAPPER Sponsors:   Johns Hopkins University;   Robert Wood Johnson Foundation;   National Institute on Aging (NIA) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Headache Disorders, Secondary;   Post-Dural Puncture Headache;   Migraine Disorders;   Back Pain;   Anesthesia Intervention:   Sponsor:   Stanford University Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Endometriosis Intervention:   Dietary Supplement: Meta19.01 Sponsor:   Metagenics Europe Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Opioid-use Disorder;   Opioid Use Disorder, Mild Interventions:   Drug: Buprenorphine;   Drug: Buprenorphine/naloxone Sponsor:   Massachusetts General Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Chronic Low-back Pain Intervention:   Device: HeatTens (HV-F311-E) Sponsor:   Vrije Universiteit Brussel Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Shoulder Pain Intervention:   Diagnostic Test: Closed Kinetic Chain Upper Extremity Stability Test Sponsor:   University Hospital, Brest Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Low Back Pain Interventions:   Other: Dry needling in hamstring muscle trigger points;   Other: Dry needling in hamstring muscle not trigger points Sponsor:   University of Alcala Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Anesthesia | Anesthesiology | Breast Surgery | Cardiology | Cardiovascular | Cardiovascular & Thoracic Surgery | Dexamethasone | Diprivan | Heart | Mastectomy | Morphine | Pain | Propofol | Ultrasound