Spinal erector spinalis block for postoperative analgesia for transfemoral amputation in an ontologic patient: Case Report

Abstract

Abstract Post-surgical pain management during the first 24 hrs before a supracondylar amputation is difficult to control, so the use of multimodal analgesia is essential, regional anesthesia is increasingly used as part of this. The ESP block was described in 2016 by Mauricio Forero for analgesia at thoracic level in patients with chronic neuropathic pain as well as for post-surgical and post-traumatic pain also at thoracic level, in this case we demonstrate a correct and novel use for post-surgical analgesia for a lower limb procedure by placing it at lumbar level. We describe the successful use of single-dose erector spinae plane blockade (ESP) as part of postoperative analgesic management in a patient who underwent transfemoral amputation. ESP was shown to produce sensory blockade in several dermatomes and successful analgesia for the first 72 hr post-surgery.