Lumbar erector spinae plane block: Successful control of acute pain after lumbar spine surgery - A clinical report

• Published in: Revista española de anestesiología y reanimación 2019-03, Vol.66 (3), p.167-171
• Main Authors: Brandão, J, Graça, R, Sá, M, Cardoso, J M, Caramelo, S, Correia, C
• Format: Article
• Language: eng ; spa
• Subjects: Acute Pain - therapy; Aged; Female; Humans; Nerve Block - methods; Pain Management - methods; Pain, Postoperative - therapy; Paraspinal Muscles; Remission Induction
• ISSN: 2340-3284; 2341-1929
• DOI: 10.1016/j.redar.2018.10.005

We report the successful clinical case of a patient scheduled for lumbar spine surgery in which we performed a bilateral single-shot erector spinae plane block as part of a multimodal analgesic strategy for pain control. Performing the block preoperatively dismissed the need for extra intraoperative opioids other than those for intubation, and enabled the use of paracetamol for analgesia only. Further, there was no need for hypotensive techniques, as the block provided satisfactory sympathetic blockade and regional vasodilation with a clear surgical field. Postoperatively, the patient had minor opioid consumption and was able to freely move without any motor impairment or pain from early on in the Post Anaesthesia Care Unit. The use of single-shot erector spinae plane block at the lumbar level for lumbar spine surgery analgesia emphasises its wide application and analgesic efficacy.