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Postoperative “Rescue” Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases

Authors Kianpour DN, Gundy JT, Nadler JW, Lindenmuth DM

Received 2 July 2020

Accepted for publication 31 July 2020

Published 13 August 2020 Volume 2020:13 Pages 95—98

DOI https://doi.org/10.2147/LRA.S268973

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Stefan Wirz


Daniel N Kianpour, Joseph T Gundy, Jacob W Nadler, Danielle M Lindenmuth

Department of Anesthesiology and Perioperative Medicine, University of Rochester Medical Center, Rochester, NY, USA

Correspondence: Daniel N Kianpour
Department of Anesthesiology and Perioperative Medicine, University of Rochester, 601 Elmwood Drive, Box 604, Rochester, NY 14642, USA
Tel +1 214-803-0475
Email Daniel_Kianpour@urmc.rochester.edu

Abstract: Pain after lumbar spine fusion surgery is often difficult to control in the immediate postoperative period. Historically, opioids have been the mainstay of treatment, but are associated with many unwanted side effects as well as increased hospital length of stay. The ultrasound-guided erector spinae plane block (ESP) is a relatively safe and simple regional option for the management of acute postoperative pain after spine surgery without the technical difficulty or complications noted with paravertebral injection (eg, pneumothorax, hematoma). To date, there have been reports of preoperative placement of ESP block prior to spine surgery with some success. We present a report of two cases that highlight the efficacy of the ESP block as an early postoperative “rescue” regional anesthetic technique in lumbar spine surgery. These cases demonstrate the potential effectiveness of a “rescue” use of the ESP block in patients having uncontrolled or poorly controlled pain in the early postoperative period with no evidence of significant side effects.

Keywords: erector spinae plane block, acute perioperative pain, lumbar spine surgery

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