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- David R Lowery, Daniel P Raymond, Daniel J Wyler, and Donn A Marciniak.
- Department of Cardiothoracic Anesthesiology, Cleveland Clinic Foundation, Cleveland, Ohio. Electronic address: lowerymd@gmail.com.
- Ann. Thorac. Surg. 2019 Jul 1; 108 (1): e19-e20.
AbstractUse of continuous erector spinae plane (ESP) blocks for pectus excavatum repair may be a valuable alternative to thoracic epidural placement. This report describes the successful use of bilateral ESP blocks in 2 patients with complex medical histories in which thoracic epidural placement was either contraindicated or unsuccessful. The benefits of continuous ESP blocks in this subset of patients include pain control with a focus on opioid sparing, early extubation, decreased atelectasis, improved mobilization and physical therapy, and decreased length of hospital stay.Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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