metricas
covid
Buscar en
Revista Española de Anestesiología y Reanimación (English Edition)
Toda la web
Inicio Revista Española de Anestesiología y Reanimación (English Edition) Ultrasound-guided sub-multifidus block for postoperative pain after lumbar spine...
Journal Information
Vol. 69. Issue 10.
Pages 697-700 (December 2022)
Share
Share
Download PDF
More article options
Visits
3
Vol. 69. Issue 10.
Pages 697-700 (December 2022)
Case report
Ultrasound-guided sub-multifidus block for postoperative pain after lumbar spine surgery – a prospective case series
Bloqueo ecoguiado bajo el músculo multífido para el dolor postoperatorio tras cirugía de columna lumbar: serie prospectiva de casos
Visits
3
S. Diwana, A. Nairb,
Corresponding author
abhijitnair95@gmail.com

Corresponding author.
, P. Bhilarec, L. Manvikara
a Department of Anaesthesia, Sancheti Hospital, Pune, Maharashtra, India
b Department of Anaesthesiology, Ibra Hospital, Ministry of Health-Oman, Ibra, Oman
c Department of Orthopedics, Sancheti Hospital, Pune, Maharashtra, India
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (3)
Show moreShow less
Abstract

We describe this series of 15 cases who were scheduled for single level lumbar spine decompression with instrumentation. Here we describe ultrasound (US) guided sub-multifidus block (SMFB). Injections of local anesthetic deep to the multifidus muscle provided reliable block of dorsal rami of spinal nerves at multiple levels in this series. With US the multifidus muscle can be identified both in axial and parasagittal planes. Needle tip is easily visualized beneath the multifidus and medial to transverse process. A good quality analgesia was documented by pain scores. There were no adverse events. This block needs to be compared with routine multimodal analgesia or with the recently describe thoracolumbar interfascial plane block to compare safety and analgesic efficacy.

Keywords:
Postoperative pain
Acute pain
Ultrasonography
Regional anesthesia
Laminectomy
Resumen

Describimos esta serie de quince casos programados para descompresión de columna lumbar a un único nivel con instrumental, en la que practicamos bloqueo ecoguiado bajo el músculo multífido (SMFB). Se inyectó el anestésico local en profundidad hacia el músculo multífido logrando el bloqueo seguro de las ramas dorsales de los nervios espinales a múltiples niveles en esta serie. Con ultrasonidos (US) puede identificarse el músculo multífido en los planos axial y parasagital. La punta de la aguja se visualiza fácilmente bajo el músculo multífido y en posición medial hacia el proceso transverso. Se documentó la buena calidad de la analgesia utilizando las puntuaciones para el dolor. No se produjeron episodios adversos. Este bloqueo debe compararse con la analgesia multimodal rutinaria o el bloqueo en el plano interfascial del músculo toracolumbar recientemente descrito, en términos de seguridad y eficacia analgésica.

Palabras clave:
Dolor postoperatorio
Dolor agudo
Ecografía
Anestesia regional
Laminectomía

Article

These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Española de Anestesiología y Reanimación (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos