Continuous lumbar erector spinae plane block for postoperative pain management in revision hip surgery: a case report
AUTOR(ES)
Kinjo, Sakura
FONTE
Rev. Bras. Anestesiol.
DATA DE PUBLICAÇÃO
10/10/2019
RESUMO
Resumo O número de artroplastias totais de quadril feitas a cada ano continua a aumentar; consequentemente, o mesmo acontece com o número de procedimentos de revisão de artroplastia total de quadril. Embora nosso método tradicional de analgesia para esses pacientes tenha envolvido medicações multimodais e um bloqueio contínuo do plexo lombar, relatamos dois casos de pacientes que receberam bloqueios contínuos do músculo eretor da coluna lombar. Ambos apresentaram excelente controle da dor pós-operatória e obtiveram alta hospitalar no primeiro dia de pós-operatório. Este relato de caso ilustra a possível utilidade do bloqueio contínuo do plano do eretor da espinha para analgesia pós-operatória nas cirurgias, cada vez mais frequentes, de revisão de artroplastia total do quadril.Abstract The number of total hip arthroplasty cases performed each year continues to increase; accordingly, so does the number of revision total hip arthroplasty procedures. While our traditional method of analgesia for these patients has involved multimodal medications and a continuous lumbar plexus block, we report two cases of patients who received continuous lumbar erector spinae plane blocks. Both patients exhibited excellent pain control postoperatively and were able to discharge home on postoperative day one. This case report illustrates the possible utility of continuous erector spinae plane blocks for postoperative analgesia in the more frequently occurring revision total hip arthroplasty surgeries.
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