title: Continuous Erector Spinae Plane Block for Rescue Analgesia in Thoracotomy After Epidural Failure: A Case Report.
abstract: The ultrasound-guided erector spinae plane (ESP) block is a newly described technique for providing thoracic analgesia. It is simple to perform and relatively noninvasive compared with thoracic epidural analgesia. In addition, the anatomy lends itself well to catheter insertion for continuous blockade. In this report, we describe the use of the ESP block as a rescue analgesic technique for postthoracotomy analgesia in a patient with failed thoracic epidural analgesia.
authors.affiliation: From the *Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada; †Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania; and ‡Department of Anesthesia, University of Toronto, Ontario, Canada.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Forero
authors.forename: Manikandan
authors.initials: M
authors.lastname: Rajarathinam
authors.forename: Sanjib
authors.initials: S
authors.lastname: Adhikary
authors.forename: Ki Jinn
authors.initials: KJ
authors.lastname: Chin
mesh_terms: D000368:Aged; D000577:Amides / Q000008:administration & dosage*; D015360:Analgesia, Epidural; D000779:Anesthetics, Local / Q000008:administration & dosage*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D011013:Pneumonectomy / Q000009:adverse effects*; D000077212:Ropivacaine; D013908:Thoracotomy / Q000009:adverse effects*; D017211:Treatment Failure; D018084:Ultrasonography, Interventional
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine