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A A Pract. 2018 Oct 1;11(7):186-188. doi: 10.1213/XAA.0000000000000777.

The Erector Spinae Plane Block Provides Complete Surgical Anesthesia in Breast Surgery: A Case Report.

Author information

1
From the Department of Anesthesia, Instituto de Ensino e Pesquisa, Hospital Sírio Libanês, São Paulo, Brazil.
2
Department of Anesthesia and Pain Management, University Health Network, Toronto, Ontario, Canada.
3
Department of Anesthesia and Pain Management, University of Toronto, Toronto, Ontario, Canada.
4
Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada.

Abstract

We described the first ultrasound-guided erector spinae plane block that provided complete surgical anesthesia for a right-sided mastectomy and axillary dissection in a patient with high cardiovascular risk. The block targeted at T5, and 20 mL of 0.5% ropivacaine with epinephrine 1:200,000 and dexamethasone 8 mg was administered. Complete anesthesia was accomplished in 20 minutes, and the patient received propofol infusion for sedation. The patient reported no pain and remained hemodynamically stable throughout the 2.5-hour procedure. At the end of the surgery, patient received morphine 2 mg and dipyrone 2 g intravenously, and demanded no analgesic until 24 hours after the procedure.

PMID:
29688930
DOI:
10.1213/XAA.0000000000000777
[Indexed for MEDLINE]

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