The erector spinae plane block (ESPB) in the management of chronic thoracic pain. Correlation of pain/analgesia areas and long term effect of the treatment in three cases
Rev Esp Anestesiol Reanim (Engl Ed). 2019 Oct;66(8):443-446.
doi: 10.1016/j.redar.2019.02.010.
Epub 2019 Aug 5.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia. Avenida Tres Cruces, 2, 46014 Valencia, España. Electronic address: pablo_kot@hotmail.com.
- 2 Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia. Avenida Tres Cruces, 2, 46014 Valencia, España.
- 3 Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Universitario Doctor Peset, Av. de Gaspar Aguilar, 90, 46017 Valencia, España.
- 4 Jefe de Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Avenida Tres Cruces, 2, 46014 Valencia, España.
Abstract
The erector spinae plane block (ESPB) is a technique that is used both as perioperative analgesia and in the management of chronic pain. This has been described recently and is being a resource increasingly used for its easy implementation and low rate of complications. However, the correlation between pain and analgesia, as well as its long-term effect on chronic pain, should be studied. We present a series of 3 cases in which the effectiveness of the ESPB in patients with chronic chest pain was evaluated. The block was performed in all cases by depositing 20ml of 0.2% Ropivacaine in the fascial plane of the erector spinae muscle. The pain was measured using a numerical scale prior to the block, at 30minutes and a month. The areas were marked on the skin with different colours for comparison.
Keywords:
Anestesia regional; Bloqueo erector espinal; Chronic pain; Dolor crónico; Dolor torácico; Erector spinae plane block; Regional anesthesia; Thoracic pain.
Copyright © 2019 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Analgesics / therapeutic use
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Anesthesia, Conduction / methods
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Anesthetics, Local
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Botulinum Toxins / therapeutic use
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Chest Pain / physiopathology
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Chest Pain / therapy*
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Chronic Pain / physiopathology
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Chronic Pain / therapy
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Combined Modality Therapy
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Epidermal Cyst / surgery
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Female
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Humans
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Male
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Middle Aged
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Nerve Block / methods*
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Neuralgia / physiopathology
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Neuralgia / therapy
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Organ Specificity
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Pain, Postoperative / physiopathology
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Pain, Postoperative / therapy
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Ropivacaine
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Thoracotomy / adverse effects
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Treatment Outcome
Substances
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Analgesics
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Anesthetics, Local
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Ropivacaine
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Botulinum Toxins