Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series

Detalhes bibliográficos
Autor(a) principal: Altıparmak,Başak
Data de Publicação: 2019
Outros Autores: Korkmaz Toker,Melike, Uysal,Ali İhsan, Gümüş Demirbilek,Semra
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Revista Brasileira de Anestesiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000300307
Resumo: Abstract Augmentation mammoplasty is the third most frequently performed esthetic surgical procedure worldwide. Breast augmentation with prosthetic implants requires the insertion of an implant under breast tissue, which causes severe pain due to tissue extension and surgical trauma to separated tissues. In this case series, we present the successful pain management of six patients with ultrasound-guided Erector Spinae Plane block after augmentation mammoplasty. In the operating room, all patients received standard monitoring. While the patients were sitting, the anesthesiologist performed bilateral ultrasound-guided erector spinae plane block at the level of T5. Bupivacaine (0.25%, 20 mL) was injected deep to the erector spinae muscle. Then, induction of anesthesia was performed with propofol, fentanyl, and rocuronium bromide. All patients received intravenous dexketoprofen trometamol for analgesia. The mean operation time was 72.5±6 min and none of the patients received additional fentanyl. The mean pain scores of the patients were 1, 2, 2, and 2 at the postoperative 5th, 30th, 60th and 120th minutes, respectively. At the postoperative 24th hour, the mean Numerical Rating Scale score was 1. The mean intravenous tramadol consumption was 70.8±15.3 mg in the first 24 h. None of the patients had any complications related to erector spinae plane block.
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spelling Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case seriesAnalgesiaAugmentation mammoplastyErector spinae plane blockPostoperative painPeripheral blockAbstract Augmentation mammoplasty is the third most frequently performed esthetic surgical procedure worldwide. Breast augmentation with prosthetic implants requires the insertion of an implant under breast tissue, which causes severe pain due to tissue extension and surgical trauma to separated tissues. In this case series, we present the successful pain management of six patients with ultrasound-guided Erector Spinae Plane block after augmentation mammoplasty. In the operating room, all patients received standard monitoring. While the patients were sitting, the anesthesiologist performed bilateral ultrasound-guided erector spinae plane block at the level of T5. Bupivacaine (0.25%, 20 mL) was injected deep to the erector spinae muscle. Then, induction of anesthesia was performed with propofol, fentanyl, and rocuronium bromide. All patients received intravenous dexketoprofen trometamol for analgesia. The mean operation time was 72.5±6 min and none of the patients received additional fentanyl. The mean pain scores of the patients were 1, 2, 2, and 2 at the postoperative 5th, 30th, 60th and 120th minutes, respectively. At the postoperative 24th hour, the mean Numerical Rating Scale score was 1. The mean intravenous tramadol consumption was 70.8±15.3 mg in the first 24 h. None of the patients had any complications related to erector spinae plane block.Sociedade Brasileira de Anestesiologia2019-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000300307Revista Brasileira de Anestesiologia v.69 n.3 2019reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2018.12.008info:eu-repo/semantics/openAccessAltıparmak,BaşakKorkmaz Toker,MelikeUysal,Ali İhsanGümüş Demirbilek,Semraeng2019-08-06T00:00:00Zoai:scielo:S0034-70942019000300307Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2019-08-06T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false
dc.title.none.fl_str_mv Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
title Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
spellingShingle Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
Altıparmak,Başak
Analgesia
Augmentation mammoplasty
Erector spinae plane block
Postoperative pain
Peripheral block
title_short Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
title_full Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
title_fullStr Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
title_full_unstemmed Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
title_sort Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series
author Altıparmak,Başak
author_facet Altıparmak,Başak
Korkmaz Toker,Melike
Uysal,Ali İhsan
Gümüş Demirbilek,Semra
author_role author
author2 Korkmaz Toker,Melike
Uysal,Ali İhsan
Gümüş Demirbilek,Semra
author2_role author
author
author
dc.contributor.author.fl_str_mv Altıparmak,Başak
Korkmaz Toker,Melike
Uysal,Ali İhsan
Gümüş Demirbilek,Semra
dc.subject.por.fl_str_mv Analgesia
Augmentation mammoplasty
Erector spinae plane block
Postoperative pain
Peripheral block
topic Analgesia
Augmentation mammoplasty
Erector spinae plane block
Postoperative pain
Peripheral block
description Abstract Augmentation mammoplasty is the third most frequently performed esthetic surgical procedure worldwide. Breast augmentation with prosthetic implants requires the insertion of an implant under breast tissue, which causes severe pain due to tissue extension and surgical trauma to separated tissues. In this case series, we present the successful pain management of six patients with ultrasound-guided Erector Spinae Plane block after augmentation mammoplasty. In the operating room, all patients received standard monitoring. While the patients were sitting, the anesthesiologist performed bilateral ultrasound-guided erector spinae plane block at the level of T5. Bupivacaine (0.25%, 20 mL) was injected deep to the erector spinae muscle. Then, induction of anesthesia was performed with propofol, fentanyl, and rocuronium bromide. All patients received intravenous dexketoprofen trometamol for analgesia. The mean operation time was 72.5±6 min and none of the patients received additional fentanyl. The mean pain scores of the patients were 1, 2, 2, and 2 at the postoperative 5th, 30th, 60th and 120th minutes, respectively. At the postoperative 24th hour, the mean Numerical Rating Scale score was 1. The mean intravenous tramadol consumption was 70.8±15.3 mg in the first 24 h. None of the patients had any complications related to erector spinae plane block.
publishDate 2019
dc.date.none.fl_str_mv 2019-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000300307
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjane.2018.12.008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
dc.source.none.fl_str_mv Revista Brasileira de Anestesiologia v.69 n.3 2019
reponame:Revista Brasileira de Anestesiologia (Online)
instname:Sociedade Brasileira de Anestesiologia (SBA)
instacron:SBA
instname_str Sociedade Brasileira de Anestesiologia (SBA)
instacron_str SBA
institution SBA
reponame_str Revista Brasileira de Anestesiologia (Online)
collection Revista Brasileira de Anestesiologia (Online)
repository.name.fl_str_mv Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)
repository.mail.fl_str_mv ||sba2000@openlink.com.br
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