Selective Dorsal Scapular Nerve and Long Thoracic Nerve Blocks for Rescue Analgesia in Scapulothoracic Arthrodesis Surgery: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 Mar 2024
01 Mar 2024
Historique:
medline:
19
3
2024
pubmed:
19
3
2024
entrez:
18
3
2024
Statut:
epublish
Résumé
Scapulothoracic arthrodesis (STA) surgery is performed to stabilize the scapula in patients with facioscapulohumeral dystrophy (FSHD). Postoperative pain could be a major problem even while using erector spinae plane block (ESPB). We performed a preoperative ESPB with an intraoperative ESPB catheter, but rescue analgesia was needed for pain in the periscapular area in the postoperative period. The patient's pain score was reduced by applying an ultrasound-guided dorsal scapular nerve (DSN) and long thoracic nerve (LTN) block. Selective DSN and LTN blocks can be effective in enhancing postoperative analgesia in STA surgery.
Identifiants
pubmed: 38498675
doi: 10.1213/XAA.0000000000001765
pii: 02054229-202403000-00010
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01765Informations de copyright
Copyright © 2024 International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Mul K, Lassche S, Voermans NC, Padberg GW, Horlings CG, van Engelen BG. What’s in a name? The clinical features of facioscapulohumeral muscular dystrophy. Pract Neurol. 2016;16:201–207.
Deenen JC, Arnts H, van der Maarel SM, et al. Population-based incidence and prevalence of facioscapulohumeral dystrophy. Neurology. 2014;83:1056–1059.
Gürkan Y, Sincer Y, Manici M, Gedik CC, Eren I, Demirhan M. erector spinae plane block for scapulothoracic arthrodesis for facioscapulohumeral dystrophy patients: a case series. A Pract. 2023;17:e01662.
Akesen S, Güler SB, Akesen B. Bilateral bi-level erector spinae plane blocks in scoliosis surgery: a retrospective comparative study. Acta Orthop Traumatol Turc. 2022;56:327–332.
Eren I, Birsel O, Öztop Çakmak O, et al. A novel shoulder disability staging system for scapulothoracic arthrodesis in patients with facioscapulohumeral dystrophy. Orthop Traumatol Surg Res. 2020;106:701–707.
Demirhan M, Uysal O, Atalar AC, Kilicoglu O, Serdaroglu P. Scapulothoracic arthrodesis in facioscapulohumeral dystrophy with multifilament cable. Clin Orthop Relat Res. 2009;467:2090–2097.
Hanson NA, Auyong DB. Systematic ultrasound identification of the dorsal scapular and long thoracic nerves during interscalene block. Reg Anesth Pain Med. 2013;38:54–57.
Auyong DB, Cabbabe AA. Selective blockade of the dorsal scapular nerve for scapula surgery. J Clin Anesth. 2014;26:684–687.
Vinsard PA, Niesen AD. Regional anesthesia for scapulothoracic fixation surgery: anatomic review and case series. Clin Anat. 2023;36:896–899.
Kwon WK, Choi JW, Kang JE, et al. Long thoracic nerve block in video-assisted thoracoscopic wedge resection for pneumothorax. Anaesth Intensive Care. 2012;40:773–779.
Haroon-Mowahed Y, Sell A. Pain management of scapulothoracic fusion using continuous interscalene brachial plexus and erector spinae plane catheters: a case report. A Pract. 2021;15:e01374.
Urmey WF, McDonald M. Hemidiaphragmatic paresis during interscalene brachial plexus block: effects on pulmonary function and chest wall mechanics. Anesth Analg. 1992;74:352–357.
Doğan AT, Coşarcan SK, Gürkan Y, Koyuncu O, Erçelen O, Demirhan M. Comparison of anterior suprascapular nerve block versus interscalane nerve block in terms of diaphragm paralysis in arthroscopic shoulder surgery: a prospective randomized clinical study. Acta Orthop Traumatol Turc. 2022;56:389–394.
Scully MA, Eichinger KJ, Donlin-Smith CM, Tawil R, Statland JM. Restrictive lung involvement in facioscapulohumeral muscular dystrophy. Muscle Nerve. 2014;50:739–743.
Eren I, Erşen A, Birsel O, Atalar AC, Oflazer P, Demirhan M. Functional outcomes and complications following scapulothoracic arthrodesis in patients with facioscapulohumeral dystrophy. J Bone Joint Surg Am. 2020;102:237–244.