Continuous lumbar erector spinae plane block for postoperative pain management in revision hip surgery: a report of two cases

Publication date: Available online 23 April 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Sakura Kinjo, Alison SchultzAbstractThe number of total hip arthroplasty cases performed each year continues to increase; accordingly, so does the number of revision total hip arthroplasty procedures. While our traditional method of analgesia for these patients has involved multimodal medications and a continuous lumbar plexus block, we report two cases of patients who received continuous lumbar erector spinae plane blocks. Both patients exhibited excellent pain control postoperatively and were able to discharge home on postoperative day one. This case report illustrates the possible utility of continuous erector spinae plane blocks for postoperative analgesia in the more frequently occurring revision total hip arthroplasty surgeries.ResumoO número de casos de artroplastia total de quadril realizado a cada ano continua aumentando; consequentemente o mesmo acontece com o número de procedimentos de revisão de artroplastia total de quadril. Embora nosso método tradicional de analgesia para esses pacientes tenha envolvido medicações multimodais e um bloqueio contínuo do plexo lombar, relatamos dois casos de pacientes que receberam bloqueios contínuos do músculo eretor da coluna lombar. Ambos os pacientes apresentaram excelente controle da dor pós-operatória e obtiveram alta hospitalar no primeiro dia de pós-operatório. Este relato de caso ilustra a ...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research