CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 4  |  Page : 535-537

Bilateral high thoracic continuous erector spinae plane blocks for postoperative analgesia in a posterior cervical fusion


1 Department of Anesthesia, Sancheti Hospital, Pune, Maharashtra, India
2 Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, Korea
3 Department of Anesthesia, Toronto Western Hospital, Toronto, Ontario, Canada
4 Department of Anesthesia, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India

Correspondence Address:
Dr. Abhijit Nair
Department of Anesthesia, Basavatarakam Indo.American Cancer Hospital and Research Institute, Hyderabad - 500 034, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_642_19

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Posterior decompression and instrumentation of the cervical spine are associated with severe postoperative pain due to extensive soft tissue and muscle dissection during the surgery. In this case series, we describe bilateral continuous cervical erector spinae plane block (CESPB) placed at T1-2 through the thoracic erector spinae plane. A series of 4 patients underwent posterior cervical decompression and stabilization for various surgical indications. The CESPB block provides intense analgesia with low requirements of anesthetic drugs in the perioperative period and opioid-free analgesia in the postoperative period. The spread of local anesthetic was studied by performing CT contrast studies after obtaining informed consent.


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