Bolus intertransverse process block and continuous erector spinae plane block for perioperative analgesic management of video-assisted thoracoscopic surgery - Three cases report -
- Author:
Yuki YAMAMOTO
1
;
Nobuhiro TANAKA
;
Yuma KADOYA
;
Miki UMEHARA
;
Takanori SUZUKA
;
Masahiko KAWAGUCHI
Author Information
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine 2023;18(2):198-203
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
