TY - GEN
T1 - Ultrasound-Guided Erector Spinae Plane Block for Surgical Anaesthesia in Percutaneous Nephrolithotomy: A Case Series
AU - Tantri, Irma Lusiana
AU - Sukmono, Raden Besthadi
AU - Pryambodho, Pryambodho
AU - Birowo, Ponco
PY - 2022
Y1 - 2022
N2 - 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.
AB - 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.
KW - erector spinae block
KW - surgical anaesthesia
KW - percutaneous nephrolithotomy
U2 - 10.52305/RLQB3573
DO - 10.52305/RLQB3573
M3 - Conference contribution
T3 - The 6th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute (6th ICE on IMERI) 2021
SP - 111
EP - 119
BT - The 6th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute (6th ICE on IMERI) 2021
PB - Medical Case Report: New Developments in Medical Research; Nova Science Publishers, Inc
ER -