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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Ultrasound guided erector spinae plane block as a cause of unintended motor bloc...
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Vol. 65. Issue 10.
Pages 589-592 (December 2018)
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Vol. 65. Issue 10.
Pages 589-592 (December 2018)
Case report
DOI: 10.1016/j.redare.2018.05.003
Ultrasound guided erector spinae plane block as a cause of unintended motor block
Bloqueo en el plano del erector de la columna ecoguiado como causa de bloqueo motor imprevisto
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O. Selvi
Corresponding author
prostel@yahoo.com

Corresponding author.
, S. Tulgar
Maltepe University, Faculty of Medicine, Istanbul, Turkey
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Abstract

Erector spinae plane block (ESPB) as postoperative analgesia method has been successfully carried out in several surgical interventions. Postoperative pain treatment for caesarean section is considered one of the important challenges for anesthesiologists due to the risk of chronic pain development and even pospartum depression. Regional anaesthesia techniques were effectively used to prevent the pain together with multimodal analgesia regimes in caesarean section. Formerly, successful erector spinae plane block was documented as postoperative analgesia treatment for caesarean section; however, no motor weakness was recorded as a side effect. In this case report, we present an unexpected motor weakness as a side effect of the erector spinae plane block after caesarean delivery operation in a 29-year-old patient. To our knowledge, this is the first report of motor weakness related to the ESPB.

Keywords:
Obstetric anaesthesia
Regional anaesthesia
Resumen

El bloqueo del plano del erector de la columna (ESPB), como método de analgesia postoperatoria, se ha realizado exitosamente en diversas intervenciones quirúrgicas. El tratamiento del dolor postoperatorio tras la cesárea se considera uno de los retos más importantes para los anestesiólogos, debido al riesgo de desarrollar dolor crónico e incluso de depresión posparto. Las técnicas de anestesia regional han sido utilizadas eficazmente para prevenir el dolor, en conjunción con regímenes anestésicos multimodales en la práctica de cesáreas. Anteriormente, el bloqueo del plano del erector de la columna ha sido documentado como un tratamiento analgésico postoperatorio tras la realización de cesáreas; sin embargo, no había sido registrada la debilidad motora como efecto colateral. En este reporte de caso, presentamos un caso de debilidad motora accidental como efecto colateral al bloqueo del plano del erector de la columna, tras una cesárea practicada a una paciente de 29 años. A nuestro entender, se trata del primer caso reportado de debilidad motora relacionado con el ESPB.

Palabras clave:
Anestesia obstétrica
Anestesia regional

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