Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series

Publication date: Available online 3 January 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Başak Altıparmak, Melike Korkmaz Toker, Ali İhsan Uysal, Semra Gümüş DemirbilekAbstractAugmentation mammoplasty is the third most frequently performed esthetic surgicalprocedure worldwide. Breast augmentation with prosthetic implants requires the insertion ofan implant under breast tissue, which causes severe pain due to tissue extension and surgicaltrauma to separated tissues. In this case series, we present the successful pain management of 6 patients with ultrasound-guided Erector Spinae Plane block after augmentation mammoplasty. In the operating room, all patients received standard monitoring. While thepatients were sitting, the anesthesiologist performed bilateral ultrasound-guided erector spinae plane block at the level of T5. Bupivacaine (0.25%, 20 mL) was injected deep to the erector spinae muscle. Then, induction of anesthesia was performed with propofol, fentanyl, and rocuronium bromide. All patients received intravenous dexketoprofen trometamol for analgesia. The mean operation time was 72.5̊æ6 min and none of the patients received additional fentanyl. The mean pain scores of the patients were 1, 2, 2, and 2 at the postoperative 5th, 30th, 60th and 120th minutes, respectively. At the postoperative 24th hour, the mean Numerical Rating Scale score was 1. The mean intravenous tramadol consumption was 70.8±15.3 mg in the first 24 h. None of...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research