Case | Patient | Operation | Erector spinae block | What we demonstrate |
1 | 56-year-old gentleman | Laparoscopic wedge resection of liver segment 6/7 and segment 8 hepatocellular carcinoma | Indication: Part of multimodal analgesia pain management and as an alternative to central neuraxial blockade. Block performed: Pre-induction single bolus left ESP block at T7 level. Pre-induction right ESP block and catheter insertion at T7 level. | Bilateral ESP block can be an effective intra-operative analgesia modality in laparoscopic liver surgery patients. Right sided ESP catheter allowed prolongation of analgesia to the post-operative period and contributes to multimodal analgesia approach. |
2 | 67-year-old lady | Open resection of liver segments 4a/8, 2 and 7 for colorectal liver metastasis | Indication: Part of multimodal analgesia opioid sparing pain management and as an alternative to central neuraxial blockade. Block performed: Pre-induction right and left ESP block and catheter insertion at T7 level. | Bilateral ESP blocks can be an effective opioid sparing analgesia modality in open liver surgery patients. The insertion of ESP catheters bilaterally allows the extension of analgesia effects post-operatively via continuous local anaesthetic infusion and intermittent boluses. |