Use of the ultrasound guided erector spinae block as an alternative anesthesia method in a selected video assisted thoracoscopy case

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dc.authorid0000-0003-1996-7505en_US
dc.contributor.authorTulgar, Serkan
dc.contributor.authorSelvi, Onur
dc.contributor.authorKızıltunç, B.
dc.contributor.authorOrki, Alpay
dc.contributor.authorKoşar, Altuğ
dc.contributor.authorÖzer, Zeliha
dc.date.accessioned2024-07-12T21:00:26Z
dc.date.available2024-07-12T21:00:26Z
dc.date.issued2019en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractBackground and aims: Video assisted thoracoscopy (VATS) is a frequently used method for both therapeutic and diagnostic purposes. VATS is usually performed under general anesthesia; however, paravertebral block or other regional techniques could be used as an option in selected patients undergoing thoracoscopic diagnostic biopsy. In this case presentation, we present the application of ultrasound guided erector spinae block (ESPB) for the management of a VATS case as a main anesthesia method. Methods: A 58 years old male patient who had a chest drain due to chronic right lung empyema after chemotherapy treatment due to lung cancer, was planned for diagnostic VATS. ESPB at level of T5 was applied with out-plane technique in lateral position under sedoanalgesia with midazolam 2 mg and fentanyl 25 mcg. Mixture of local anesthetics composed of 20 mL bupivacaine 0.5% and 10 mL lidocaine 2% was applied between transverse process and erector spinae muscle. Results: The sensorial block between T2-T7 dermatomes was confirmed with pinprick test after 30 minutes following block application. Deep dermal and subcutaneous surgical tissue biopsies were sampled in 4 abdominal quadrant. The video camera equipment was advanced into thorax cavity. Small lobular pathologies between lung parenchyma and thoracic wall were observed and dissected. The surgery lasted for 25 minutes. Whenever the patient revealed discomfort and mild pain additional 10 mg intravenous ketamine was applied and repeated three times.en_US
dc.identifier.citationTulgar, S., Selvi, O., Kızıltunç, B., Orki, A., Koşar, A. ve Özer, Z. (2019). Use of the ultrasound guided erector spinae block as an alternative anesthesia method in a selected video assisted thoracoscopy case. Regional Anesthesia & Pain Medicine. 44, s. 230.en_US
dc.identifier.endpage230en_US
dc.identifier.startpage230en_US
dc.identifier.urihttp://dx.doi.org/10.1136/rapm-2019-ESRAABS2019.407
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3377
dc.identifier.volume44en_US
dc.language.isoenen_US
dc.publisherRegional Anesthesia & Pain Medicineen_US
dc.relation.ispartofRegional Anesthesia & Pain Medicineen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsCC0 1.0 Universal*
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.snmzKY09232
dc.titleUse of the ultrasound guided erector spinae block as an alternative anesthesia method in a selected video assisted thoracoscopy caseen_US
dc.typePresentation
dspace.entity.typePublication

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