Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy
Yıl: 2020 Cilt: 26 Sayı: 2 Sayfa Aralığı: 102 - 105 Metin Dili: İngilizce DOI: 10.5222/GKDAD.2020.42275 İndeks Tarihi: 27-11-2020
Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy
Öz: Erector Spinae Plane (ESP) block in cardiothoracic surgery may be a good alternativeto perioperative opioid use or thoracic epidural analgesia in the postoperativeanalgesia. We presented our effective ESP block experience in redo tricuspid valvereplacement surgery. A patient was scheduled for a redo tricuspid valve replacement(TVR) via thoracotomy. The patient underwent aortic valve replacement in 1994,mitral commissurotomy in 2005 and TVR in 2008. Single injection block was performedat the level of the T5 for ESP with a total of 40 ml 0.5% 1: 1 bupivacaine/ saline mixtureadministered bilaterally in equal amounts of 20 ml. On the 1. and 2. postoperative day,VAS was 1-2 and no additional analgesic was required. Single injection block was quiteeffective in relieving postoperative pain, the patient was hemodynamically stable andminimum perioperative opioid requirement was promising. ESP block is veryadvantageous in order to avoid problems caused by high opioid doses. An importantpoint is that more tissue resection is required in redo surgeries, causing more pain,however, adequate analgesia was achieved with single injection ESP in our case.
Anahtar Kelime: Torakotomi ile Redo Triküspit Replasmanında Bilateral Erektör Spina Düzlem Bloğu
Öz: Kardiyotorasik cerrahide Erector Spinae Plane (ESP) bloğu, postoperatif analjezide perioperatif opioid kullanımına veya torasik epidural analjeziye iyi bir alternatif olabilir. Bu yazıda redo triküspit kapak replasmanı ameliyatında etkili ESP blok deneyimimizi sunduk. Hastaya torakotomi ile redo triküspit kapak replasmanı (TVR) ameliyatı planlandı. Hastaya 1994 yılında aort kapak replasmanı, 2005 yılında mitral kommissurotomi ve 2008 yılında TVR uygulanmıştı. ESP için T5 seviyesinde % 0.5 bupivakain: salin 1: 1 karışımı, her bir tarafa 20 ml olacak şekilde bilateral tek enjeksiyon bloğu uygulandı. Postoperatif 1. ve 2. gün VAS 1-2 idi ve ek analjezik gerekmedi. Tek enjeksiyonlu blok postoperatif ağrıyı hafifletmede oldukça etkiliydi, hasta hemodinamik olarak stabildi ve minimum perioperatif opioid gereksinimi ümit vericiydi. ESP bloğu, yüksek opioid dozlarının neden olduğu sorunları önlemek için çok avantajlıdır. Önemli bir nokta, redo ameliyatlarda daha fazla doku rezeksiyonu gerekir ve bu daha fazla ağrıya neden olur, ancak olgumuzda tek enjeksiyonlu ESP ile yeterli analjezi sağlanmıştır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | demir a, Girgin B, islamoğlu h (2020). Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. , 102 - 105. 10.5222/GKDAD.2020.42275 |
| Chicago | demir aslı z,Girgin Behiç,islamoğlu halil Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. (2020): 102 - 105. 10.5222/GKDAD.2020.42275 |
| MLA | demir aslı z,Girgin Behiç,islamoğlu halil Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. , 2020, ss.102 - 105. 10.5222/GKDAD.2020.42275 |
| AMA | demir a,Girgin B,islamoğlu h Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. . 2020; 102 - 105. 10.5222/GKDAD.2020.42275 |
| Vancouver | demir a,Girgin B,islamoğlu h Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. . 2020; 102 - 105. 10.5222/GKDAD.2020.42275 |
| IEEE | demir a,Girgin B,islamoğlu h "Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy." , ss.102 - 105, 2020. 10.5222/GKDAD.2020.42275 |
| ISNAD | demir, aslı z vd. "Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy". (2020), 102-105. https://doi.org/10.5222/GKDAD.2020.42275 |
| APA | demir a, Girgin B, islamoğlu h (2020). Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26(2), 102 - 105. 10.5222/GKDAD.2020.42275 |
| Chicago | demir aslı z,Girgin Behiç,islamoğlu halil Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26, no.2 (2020): 102 - 105. 10.5222/GKDAD.2020.42275 |
| MLA | demir aslı z,Girgin Behiç,islamoğlu halil Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, vol.26, no.2, 2020, ss.102 - 105. 10.5222/GKDAD.2020.42275 |
| AMA | demir a,Girgin B,islamoğlu h Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(2): 102 - 105. 10.5222/GKDAD.2020.42275 |
| Vancouver | demir a,Girgin B,islamoğlu h Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(2): 102 - 105. 10.5222/GKDAD.2020.42275 |
| IEEE | demir a,Girgin B,islamoğlu h "Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy." Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26, ss.102 - 105, 2020. 10.5222/GKDAD.2020.42275 |
| ISNAD | demir, aslı z vd. "Bilateral Erector Spinae Plane Block for Redo Tricuspid Valve Replacement with Thoracotomy". Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26/2 (2020), 102-105. https://doi.org/10.5222/GKDAD.2020.42275 |
