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Inicio Clínica e Investigación en Ginecología y Obstetricia Management of thoracic neuropathic pain with an ESP block in a pregnant patient
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Vol. 52. Issue 1. (In progress)
(January - March 2025)
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Vol. 52. Issue 1. (In progress)
(January - March 2025)
Case report
Management of thoracic neuropathic pain with an ESP block in a pregnant patient
Tratamiento del dolor neuropático torácico con un bloqueo ESP en una paciente embarazada
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L. Arce Gálveza,e,
Corresponding author
, R.E. Valencia Gómezb,e, A. Ceballos Vejaranoc,e, J. Daes Morab,e, D.A. Méndez Vegad
a Physical Medicine and Rehabilitation, Universidad del Valle, Cali, Colombia
b Anesthesiology and Reanimation, Bogota, Colombia
c Family Medicine, Bogota, Colombia
d Gynecology and Obstetrics, Universidad Libre, Cali, Colombia
e Pain Medicine and Palliative Care, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
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Abstract
Introduction

The erector spinae plane block is a useful intervention in the management of somatic and visceral nociceptive pain at different spinal levels. Studies of its use during pregnancy are still limited, however, it has shown interesting results in the management of non-obstetric pain during pregnancy.

Clinical case

We present the case of a 27.5-week pregnant woman with a history of pancreatitis and a thoracotomy with neuropathic pain at intercostal level and repeated emetic symptoms who was taken to an ESP at T6 level with a sudden improvement of her symptomatology, without side effects or maternal–fetal damage.

Conclusion

This is the first description of the use of ESP blockade in intercostal pain during gestation, where we highlight its clinical efficacy and maternal–fetal safety profile.

Keywords:
Pain management
Pregnancy
Nerve block
Ultrasonography
Resumen
Introducción

El bloqueo del plano erector espinal (ESP, por sus siglas en inglés) es una intervención útil en el manejo del dolor nociceptivo somático y visceral a diferentes niveles espinales. Los estudios sobre su uso durante el embarazo son aún limitados, sin embargo, ha mostrado resultados interesantes en el manejo del dolor no obstétrico durante el embarazo.

Caso clínico

Presentamos el caso de una gestante de 27,5 semanas con antecedentes de pancreatitis y toracotomía con dolor neuropático a nivel intercostal y síntomas eméticos de repetición que fue llevada a una ESP a nivel de T6 con mejoría brusca de su sintomatología, sin efectos secundarios ni daño materno-fetal.

Conclusiones

Esta es la primera descripción del uso del bloqueo de la ESP en el dolor intercostal durante la gestación, donde destacamos su eficacia clínica y perfil de seguridad materno-fetal.

Palabras clave:
Tratamiento del dolor
Embarazo
Bloqueo de nervio
Ultrasonografía

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