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.