• Rev Bras Anestesiol · Jan 2019

    Case Reports

    [Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report].

    • Alessandro De Cassai, Tommaso Tonetti, Helmut Galligioni, and Carlo Ori.
    • University of Padova, Section of Anesthesiology and Intensive Care, Department of Medicine (Dimed), Padova, Itália. Electronic address: alessandro.decassai@gmail.com.
    • Rev Bras Anestesiol. 2019 Jan 1; 69 (1): 95-98.

    Background And ObjectiveErector spinae plane block is a valid technique to provide simultaneously analgesia for combined thoracic and abdominal surgery.Case ReportA patient underwent open esophagectomy followed by reconstructive esophagogastroplasty but refused thoracic epidural analgesia; a multi-modal analgesia with a multiple erector spinae plane block was then planned. Three erector spinae plane catheters (T5 and T10 on the right side and T9 on the left side) for continuous analgesia were placed before surgery. During the first 48h pain was never reported in the thoracic area but the patient reported multiple times to feel a pain well localized in epigastrium, but never localized in any other abdominal quadrant.DiscussionErector spinae plane block is a valid technique to provide analgesia simultaneously for combined thoracic and abdominal surgery and could be a valid alternative strategy if the use of epidural analgesia is contraindicated.Copyright © 2018 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

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