Case Report Presentation of Ultrasound-guided Erector Spinae Plane Block in Shoulder Surgery: Three Patients and Two Different Results

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dc.authorid0000-0003-1996-7505en_US
dc.authorid0000-0003-3211-4945en_US
dc.contributor.authorSelvi, Onur
dc.contributor.authorTulgar, Serkan
dc.contributor.authorOzer, Zeliha
dc.date.accessioned2024-07-12T21:46:04Z
dc.date.available2024-07-12T21:46:04Z
dc.date.issued2018en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractErector spinae block (ESPB) is an effective therapy for chronic shoulder pain. However, ESPB has not been used as a postoperative analgesia method in shoulder surgeries. In this case report, we report three patients undergoing shoulder surgeries that received ESPB preoperatively for postoperative analgesia. All patients had relief of preoperative pain and no associated motor block. Two of the patients manifested with low maximum pain scores (4/10, 3/10) on a numeric rating scale (NRS). The other patient reported a maximum pain score of 8/10 on NRS. While this patient's shoulder mobility immediately improved after ESPB application, the ESPB did not provide adequate analgesia for the postoperative period. The use of the ESPB for acute postoperative analgesia after shoulder surgery is novel and clinically interesting. However, postoperative analgesia was not completely opioid-sparing. Consequently, the efficiency of ESPB at the level of T2 for postoperative analgesia should be considered for surgeries that involve the shoulder cap given the possible inadequate migration of local anesthetic into the cervical plexus. Clinicians should carefully consider an ESPB as a postoperative analgesic option when considering shoulder operations and the possibility for the incomplete spread of local anesthetic in targeted neural structures.en_US
dc.identifier.doi10.7759/cureus.3538
dc.identifier.issn2168-8184
dc.identifier.issue11en_US
dc.identifier.pmid30648071en_US
dc.identifier.urihttps://dx.doi.org/10.7759/cureus.3538
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7882
dc.identifier.volume10en_US
dc.identifier.wosWOS:000458695500005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.relation.ispartofCUREUSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00576
dc.subjectregional anaesthesiaen_US
dc.subjectorthopaedic surgeryen_US
dc.titleCase Report Presentation of Ultrasound-guided Erector Spinae Plane Block in Shoulder Surgery: Three Patients and Two Different Resultsen_US
dc.typeArticle
dspace.entity.typePublication

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