Erector spinae plane block with catheter infusion for analgesia in a patient undergoing transaxillary first rib resection

L McCance* (Corresponding Author), E C Smith, J Moore, P Forget

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Analgesia for first rib resection can be challenging with short- and long-term consequences for patients such as acute distress, difficulty participating in physiotherapy and chronic pain. We report utilising an erector spinae plane block with a continuous infusion catheter as analgesia for a transaxillary first rib removal in a patient with venous thoracic outlet syndrome (Paget-Schroetter syndrome). We could find no reports of erector spinae plane block in transaxillary rib resection, and a limited number of reports using a paravertebral approach to analgesia for this procedure. In our case, an erector spinae plane block provided effective analgesia, allowing the patient to participate freely in postoperative physiotherapy; no complications of erector spinae plane block were encountered. Further research into the safety and efficacy of erector spinae plane block for first rib resection is warranted.

Original languageEnglish
Article numbere12190
JournalAnaesthesia Reports
Volume10
Issue number2
Early online date19 Oct 2022
DOIs
Publication statusPublished - 19 Oct 2022

Keywords

  • venous thoracic outlet Syndrome
  • analgesia
  • erector spinae block
  • nerve block

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