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Lumbar erector spinae plane block for total hip arthroplasty analgesia. Case report / Bloqueio do plano eretor da espinha lombar para analgesia de artroplastia total de quadril. Relato de caso
Division of AnesthesiaAzevedo, Artur Salgado de; Division of AnesthesiaFernandes, Hermann dos Santos; Division of AnesthesiaCunha Júnior, Waldir; Division of AnesthesiaHamaji, Adilson; Division of AnesthesiaAshmawi, Hazem Adel.
  • Division of AnesthesiaAzevedo, Artur Salgado de; University of São Paulo School of Medicine. Teaching Hospital. Division of AnesthesiaAzevedo, Artur Salgado de. São Paulo. BR
  • Division of AnesthesiaFernandes, Hermann dos Santos; University of São Paulo School of Medicine. Teaching Hospital. Division of AnesthesiaFernandes, Hermann dos Santos. São Paulo. BR
  • Division of AnesthesiaCunha Júnior, Waldir; University of São Paulo School of Medicine. Teaching Hospital. Division of AnesthesiaCunha Júnior, Waldir. São Paulo. BR
  • Division of AnesthesiaHamaji, Adilson; University of São Paulo School of Medicine. Teaching Hospital. Division of AnesthesiaHamaji, Adilson. São Paulo. BR
  • Division of AnesthesiaAshmawi, Hazem Adel; University of São Paulo School of Medicine. Teaching Hospital. Division of AnesthesiaAshmawi, Hazem Adel. São Paulo. BR
BrJP ; 4(1): 91-93, Jan.-Mar. 2021. graf
Article in English | LILACS-Express | LILACS | ID: biblio-1249127
ABSTRACT
ABSTRACT BACKGROUND AND

OBJECTIVES:

Total hip replacement surgeries may result in intense postoperative pain. There are many analgesia techniques available in clinical practice and lumbar erector spine plane (LESP) block may be an option of an effective technique with milder adverse effects and easier execution. CASE REPORT Female patient, 23-year-old, allergic to morphine and tramadol, underwent a total left hip arthroplasty under mild sedation, no opioid spinal anesthesia and ultrasound guided LESP. After the surgery the patient's pain was under control, and methadone rescue analgesia was not used.

CONCLUSION:

LESP block is easy to perform and may be effective for postoperative analgesia in hip surgeries, with fewer adverse effects than other techniques.
RESUMO
RESUMO JUSTIFICATIVA E

OBJETIVOS:

Artroplastia total de quadril pode evoluir com dor pós-operatória intensa. Há várias técnicas disponíveis na prática clínica para analgesia. O bloqueio do plano eretor da espinha lombar (LESP block) pode ser uma opção efetiva, de fácil execução e efeitos adversos mais leves. RELATO DO CASO Paciente do sexo feminino, 23 anos, alérgica a morfina e tramadol, submetida à artroplastia total de quadril sob sedação leve, anestesia subaracnóidea sem opioides e LESP block guiado por ultrassonografia. Evoluiu com controle de dor efetivo, sem uso de metadona de resgate.

CONCLUSÃO:

LESP block é fácil de ser executado, pode ser efetivo para analgesia pós-operatória de cirurgias de quadril e apresenta menos efeitos adversos que outras técnicas.


Full text: Available Index: LILACS (Americas) Language: English Journal: BrJP Journal subject: Medicina Cl¡nica / Medicina Interna / Patologia Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of São Paulo School of Medicine/BR

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Full text: Available Index: LILACS (Americas) Language: English Journal: BrJP Journal subject: Medicina Cl¡nica / Medicina Interna / Patologia Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of São Paulo School of Medicine/BR