Published in:
01-06-2021 | Nerve Injury | Clinical Report
Cervical erector spinae plane block as a perioperative analgesia method for shoulder arthroscopy: a case series
Authors:
Danxu Ma, Ran Wang, Hong Wen, Huili Li, Jia Jiang
Published in:
Journal of Anesthesia
|
Issue 3/2021
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Abstract
Shoulder arthroscopy, a common intervention for severe rotator cuff injuries, is associated with severe postoperative pain. Upon performing cervical erector spinae plane (ESP) blocks at the C7 TP (tip or posterior tip) or the posterior tip of the C6 TP posterior tubercle in six patients undergoing shoulder arthroscopy, sensory block was detectable in congruent cervico-thoracic dermatomes. Effective intraoperative and postoperative analgesia were consistently obtained for all six patients. This preliminary study illustrated that the cervical ESP block can be considered a potential simple regional anesthesia method for providing analgesia during shoulder arthroscopy with low risks of diaphragmatic paresis, upper extremity motor paresis, nerve injury and persistent hypotension.