NDLI: Ultrasound-guided bilateral erector spinae plane nerve blocks: a novel application for the management of acute postoperative pain in awake spine surgery. Illustrative case.

Please wait, while we are loading the content...

Ultrasound-guided bilateral erector spinae plane nerve blocks: a novel application for the management of acute postoperative pain in awake spine surgery. Illustrative case.

Content Provider	Europe PMC
Author	Braxton, Ernest E. Brena, Kyle R. Spears, Holley Conrad, Emerson Heinze, Jared D.
Copyright Year	2022
Abstract	BACKGROUNDPostoperative pain management is a limiting factor for early ambulation and discharge following spine fusion surgery. Awake spinal surgery, when combined with minimally invasive transforaminal lumbar interbody fusion, is associated with enhanced recovery in well-selected patients. Some neurosurgeons have recently aimed to further improve outcomes by utilizing erector spinae plane block catheters, allowing for a continuous infusion of local anesthetic to improve the management of acute postoperative pain following minimally invasive transforaminal lumbar interbody fusion.OBSERVATIONSA patient who underwent a minimally invasive transforaminal lumbar interbody fusion with perioperatively placed erector spinae plane catheters at the T12 level ambulated 30 minutes after surgery and was discharged the same day (length of stay, 4.6 hours). The total amount of narcotics administered during the hospital stay was 127.5 morphine milligram equivalents.LESSONSThe placement of bilateral erector spine plane nerve block catheters at the T12 level with an ambulatory infusion pump may help to improve acute postoperative pain management for patients undergoing lumbar spinal fusion.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9379654&blobtype=pdf
Page Count	4
Journal	Journal of Neurosurgery: Case Lessons [J Neurosurg Case Lessons]
Volume Number	3
PubMed Central reference number	PMC9379654
Issue Number	18
PubMed reference number	36303486
e-ISSN	26941902
DOI	10.3171/case21633
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2022-05-02
Access Restriction	Open
Rights License	CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/). © 2022 The authors
Subject Keyword	TLIF ERAS regional anesthesia awake spine postoperative pain ESP = erector spinae plane MI = minimally invasive NRS = numeric rating scale PACU = postanesthesia care unit TLIF = transforaminal lumbar interbody fusion TLIP = thoracolumbar interfascial plane
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in