Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block
Multimodal anesthesia, which combines general and epidural anesthesia, is used in surgical cases in which a large or painful incision is anticipated. However, both epidural blocks and opioid-based analgesia have limitations in application. Here, we present a case of supra-infraumbilical laparotomy i...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/6062935 |
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| author | Juan Carlos Luis-Navarro Carmen Fornés-Rumbao Ana Bella DeLaCalle-Gil Mauricio Forero |
| author_facet | Juan Carlos Luis-Navarro Carmen Fornés-Rumbao Ana Bella DeLaCalle-Gil Mauricio Forero |
| author_sort | Juan Carlos Luis-Navarro |
| collection | DOAJ |
| description | Multimodal anesthesia, which combines general and epidural anesthesia, is used in surgical cases in which a large or painful incision is anticipated. However, both epidural blocks and opioid-based analgesia have limitations in application. Here, we present a case of supra-infraumbilical laparotomy in a patient whose history of neurostimulator use and marked scoliosis discouraged the placement of an epidural catheter and whose prior adverse response to opioids prohibited their use. The intraoperative and postoperative management of this patient consisted of a combination of analgesia without opioids and erector spinae plane block. Adequate analgesia was achieved, and intraoperative or postoperative opioids were not required. This case illustrates the importance of mastering alternative and multimodal analgesia techniques that can be used in place of classical analgesia techniques when classical analgesia techniques are not appropriate. |
| format | Article |
| id | doaj-art-ee6bd44fd0d54a7eb2cd1707d0ae7624 |
| institution | OA Journals |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-ee6bd44fd0d54a7eb2cd1707d0ae76242025-08-20T02:21:41ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/60629356062935Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane BlockJuan Carlos Luis-Navarro0Carmen Fornés-Rumbao1Ana Bella DeLaCalle-Gil2Mauricio Forero3Anesthesia-Reanimation Service, Virgen Del Rocio University Hospital, Seville, SpainAnesthesia-Reanimation Service, Virgen Del Rocio University Hospital, Seville, SpainAnesthesia-Reanimation Service, Virgen Del Rocio University Hospital, Seville, SpainAnesthesia Department, McMaster University, Hamilton, CanadaMultimodal anesthesia, which combines general and epidural anesthesia, is used in surgical cases in which a large or painful incision is anticipated. However, both epidural blocks and opioid-based analgesia have limitations in application. Here, we present a case of supra-infraumbilical laparotomy in a patient whose history of neurostimulator use and marked scoliosis discouraged the placement of an epidural catheter and whose prior adverse response to opioids prohibited their use. The intraoperative and postoperative management of this patient consisted of a combination of analgesia without opioids and erector spinae plane block. Adequate analgesia was achieved, and intraoperative or postoperative opioids were not required. This case illustrates the importance of mastering alternative and multimodal analgesia techniques that can be used in place of classical analgesia techniques when classical analgesia techniques are not appropriate.http://dx.doi.org/10.1155/2020/6062935 |
| spellingShingle | Juan Carlos Luis-Navarro Carmen Fornés-Rumbao Ana Bella DeLaCalle-Gil Mauricio Forero Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block Case Reports in Anesthesiology |
| title | Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block |
| title_full | Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block |
| title_fullStr | Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block |
| title_full_unstemmed | Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block |
| title_short | Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block |
| title_sort | multimodal anesthesia via opioid free analgesia and erector spinae plane block |
| url | http://dx.doi.org/10.1155/2020/6062935 |
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