• A&A practice · Feb 2025

    Case Reports

    Erector Spinae Plane Block Together With Inter-Transverse Process Block for Open Gastrectomy: Case Report.

    • Francesco Marrone, Simone Failli, Fabio Fabbri, Saverio Paventi, Luca Lepre, Vincenzo Virno, and Carmine Pullano.
    • From the Department of Anesthesia, Santo Spirito Hospital, Rome, Italy.
    • A A Pract. 2025 Feb 1; 19 (2): e01918e01918.

    AbstractFascial plane blocks of the posterior thoracic wall (erector spinae plane [ESP] and intertransverse plane [ITP]) may offer advantages for high-risk patients requiring open abdominal surgery in whom thoracic epidural analgesia (TEA) combined with general anesthesia (GA) may be relatively contraindicated. As a primary anesthesia method, ESP/ITP (paravertebral by proxy) blocks proved effective in a case of open gastrectomy by avoiding airway intervention, mechanical ventilation, and effectively managing visceral pain. This article highlights the use of ESP/ITP blocks in a high-risk patient for whom GA and TEA posed substantial risks, with the patient who experienced favorable perioperative outcomes.Copyright © 2025 International Anesthesia Research Society.

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