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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Lumbar erector spinae plane block: Successful control of acute pain after lumbar...
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Vol. 66. Issue 3.
Pages 167-171 (March 2019)
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Vol. 66. Issue 3.
Pages 167-171 (March 2019)
Case report
Lumbar erector spinae plane block: Successful control of acute pain after lumbar spine surgery – A clinical report
Bloqueo lumbar del plano del músculo erector de la columna: control exitoso del dolor agudo tras cirugía de la columna lumbar. Un caso clínico
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J. Brandão
Corresponding author
jocbrandao@gmail.com

Corresponding author.
, R. Graça, M. Sá, J.M. Cardoso, S. Caramelo, C. Correia
Departamento de Anestesiología y Terapia del Dolor, Centro Hospitalar de Trás-Os-Montes e Alto Douro, EPE, Vila Real, Portugal
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Abstract

We report the successful clinical case of a patient scheduled for lumbar spine surgery in which we performed a bilateral single-shot erector spinae plane block as part of a multimodal analgesic strategy for pain control. Performing the block preoperatively dismissed the need for extra intraoperative opioids other than those for intubation, and enabled the use of paracetamol for analgesia only. Further, there was no need for hypotensive techniques, as the block provided satisfactory sympathetic blockade and regional vasodilation with a clear surgical field. Postoperatively, the patient had minor opioid consumption and was able to freely move without any motor impairment or pain from early on in the Post Anaesthesia Care Unit. The use of single-shot erector spinae plane block at the lumbar level for lumbar spine surgery analgesia emphasises its wide application and analgesic efficacy.

Keywords:
Lumbar spine surgery
Erector spinae plane block
Multimodal analgesia
Regional anaesthesia
Resumen

Divulgamos el caso clínico de una paciente programada para cirugía de la columna lumbar, en la cual realizamos el bloqueo del plano del músculo erector de la columna lumbar como parte de una estrategia analgésica multimodal para el control del dolor agudo. La realización del bloqueo preoperatoriamente descartó la necesidad de opioides intraoperatorios adicionales a los de la intubación y permitió el uso de paracetamol solo para la analgesia. Además, no hubo necesidad de técnicas hipotensivas, ya que el bloqueo proporcionó bloqueo simpático satisfactorio y vasodilatación regional con un campo quirúrgico claro. En el postoperatorio, la paciente tenía un consumo menor de opiáceos y podía moverse libremente sin ningún deterioro motor, ni dolor desde el principio en la Unidad de Cuidados Postanestésicos. El uso del bloqueo del plano del músculo erector de la columna lumbar a nivel lumbar para la analgesia en la cirugía de la columna lumbar enfatiza su amplia aplicación y eficacia analgésica.

Palabras clave:
Cirugía de la columna lumbar
Bloqueo del plano del erector de la columna
Analgesia multimodal
Anestesia regional

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