• Rev Esp Anestesiol Reanim · Feb 2018

    Case Reports

    Erector spinae plane block for radical mastectomy: A new indication?

    • M Veiga, D Costa, and I Brazão.
    • Servicio de Anestesiología, Hospital Central do Funchal, Funchal, Portugal. Electronic address: nocas_veiga@hotmail.com.
    • Rev Esp Anestesiol Reanim. 2018 Feb 1; 65 (2): 112-115.

    AbstractThe erector spinae plane block is a technique recently described by Forero et al. in September 2016. It has applications in the control of chronic pain with neuropathic component of the chest wall, and for pain control in thoracoscopic surgery. In this article, we describe the use of this technique as part of a multimodal analgesic approach in a 40-year-old woman, who underwent radical mastectomy due to breast cancer. By performing this block before anesthetic induction, we have achieved an opioid sparing effect, avoiding a possible immunomodulatory effect, although not yet proven in humans. During hospitalization, the patient reported no pain (0/10 in numeric scale), without resorting to rescue analgesia. The easy, fast and safe execution of erector spinae plane block makes it a promising technique in the context of surgical pain during radical mastectomy.Copyright © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

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