Erector Spinae Plane Block for Proximal Shoulder Surgery- A phrenic nerve sparing block! [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-55047

Erector Spinae Plane Block for Proximal Shoulder Surgery- A phrenic nerve sparing block!

Sandeep Diwan1, Abhijit Nair2
1Department of Anaesthesiology, Sancheti Hospital, Pune, Maharashtra State, India
2Department of Anaesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Telangana State, Hyderabad, India

There are several indications of erector spinae plane block(ESPB) in managing postoperative surgical pain.We investigated efficacy of ultrasound guided ESPB at T2-T3 level in 5 patients undergoing surgery for proximal humerus fracture and found that it provided excellent analgesia in the postoperative period. To investigate the spread of local anesthetic at this level, we performed CT contrast studies which helped in understanding the mechanism of action.We feel that an ESPB at this level is a good and safe alternative to routinely used brachial plexus blocks as it provides good analgesia and spares the phrenic nerve as well.

Keywords: Erector Spinae, Ultrasound, Shoulder, Surgery




Corresponding Author: Sandeep Diwan, India


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