Bolus intertransverse process block and continuous erector spinae plane block for perioperative analgesic management of video-assisted thoracoscopic surgery - Three cases report -

Yamamoto Yuki; Tanaka Nobuhiro; Kadoya Yuma; Umehara Miki; Suzuka Takanori; Kawaguchi Masahiko

doi:10.17085/apm.22250

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자료유형: 학술저널

저자정보: Yamamoto Yuki (Department of Anesthesiology Nara Prefecture General Medical Center) Tanaka Nobuhiro (Department of Anesthesiology Nara Medical University Nara Japan) Kadoya Yuma (Department of Anesthesiology Nara Medical University Nara Japan) Umehara Miki (Department of Anesthesiology Nara Medical University Nara Japan) Suzuka Takanori (Department of Anesthesiology Nara Medical University Nara Japan) Kawaguchi Masahiko (Department of Anesthesiology Nara Medical University Nara Japan)

저널정보: 대한마취통증의학회(구 대한마취과학회) Anesthesia and Pain Medicine Anesthesia and Pain Medicine Vol.18 No.2

발행연도: 2023.4

수록면: 198 - 203 (6page)

DOI: 10.17085/apm.22250

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Background: Common regional anesthesia approaches for video-assisted thoracoscopic surgery (VATS) include paravertebral block (PVB) and erector spinae plane block (ESPB). PVB is considered a deep nerve block which is contraindicated in antithrombotic therapy. ESPB is effective when administered as a bolus, as well as continuously. However, the recently proposed intertransverse process block (ITPB) ensures more effective diffusion of the local anesthetic into the paravertebral space.Case: We report cases of three patients who received bolus ITPB (costotransverse foramen block and mid-point transverse process-to-pleura block in one and two cases, respectively) combined with continuous ESPB when a deep nerve block could not be administered. Opioids were not required postoperatively, and all postoperative numerical rating scale scores (0–10) at rest were maintained below 4.Conclusions: The combination of bolus ITPB and continuous ESPB may be an alternative analgesic method when deep nerve blocks are contraindicated in VATS.

#Analgesia #Anesthesia #Regional anesthesia #Video-assisted thoracoscopic surgery

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Yamamoto Yuki

소속기관 Department of Anesthesiology Nara Prefecture General Medical Center

주요연구분야 의약학 > 임상의학 > 마취과학

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Tanaka Nobuhiro