Ultrasound-Guided Erector Spinae Plane Block for Surgical Anaesthesia in Percutaneous Nephrolithotomy: A Case Series

Irma Lusiana Tantri, Raden Besthadi Sukmono, Pryambodho Pryambodho, Ponco Birowo

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Background: Erector spinae plane (ESP) block is an interfacial block reported to provide adequate postoperative analgesia for abdominal surgery. However, studies on its effectiveness for percutaneous nephrolithotomy (PCNL) are limited. Therefore, this chapter determines the effectiveness of ESP block in providing surgical anaesthesia for patients undergoing PCNL. Methods: The study recruited four patients and obtained their informed consent before the procedure. All patients received sedation with propofol and were positioned laterally to receive ultrasound-guided ESP blocks before the procedure. Twenty-five ml of 0.5% bupivacaine with epinephrine 1:200.000 was injected at the T9 level. Before urethral manipulation, patients were given fentanyl 50 mcg intravenously, and sedation was maintained throughout the procedure. The sensory loss was evaluated by performing skin clamping at the incision level before the surgery. The ESP block was considered successful in providing surgical anaesthesia, as there was no movement or significant changes in vital signs during skin clamping and throughout the surgery. Results: The surgical procedures of all four patients were successful. There was no movement or significant change in vital signs during skin clamping or throughout the procedure. Conclusion: ESP block is a feasible alternative for providing surgical anaesthesia in patients undergoing PCNL.
Original languageEnglish
Title of host publicationThe 6th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute (6th ICE on IMERI) 2021
PublisherMedical Case Report: New Developments in Medical Research; Nova Science Publishers, Inc
Pages111-119
DOIs
Publication statusPublished - 2022

Publication series

NameThe 6th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute (6th ICE on IMERI) 2021
PublisherMedical Case Report: New Developments in Medical Research; Nova Science Publishers, Inc

Keywords

  • erector spinae block
  • surgical anaesthesia
  • percutaneous nephrolithotomy

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