Erector Spinae Plane Block When Neuraxial Analgesia Is Contraindicated by Clotting Abnormalities.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 33549523.
- Also identified by DOI 10.1016/j.athoracsur.2021.01.043.
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Abstract
We describe 4 cases in which patients with coagulopathies, an absolute contraindication to epidural/paravertebral blocks, received an erector spinae plane block to manage severe thoracic pain with respiratory impairment. Intubation was avoided in 2 cases, and weaning from the ventilator was facilitated in 2 cases. Ultrasound-guided erector spinae plane block is simple to perform, has a low risk profile, and provides an excellent analgesic alternative.
Medical subject headings
- Acute Pain
- Anesthetics, Local
- Blood Coagulation Disorders
- Neuromuscular Blockade
- Paraspinal Muscles
- Ropivacaine