2018, Number 3
<< Back Next >>
Rev Cub de Med Fis y Rehab 2018; 10 (3)
Blocking the spinal erector muscle plane in a patient suffering postherpetic neuralgia
Jiménez TA, Viña GML, Navarrete BIZ, Mojena DZ
Language: Spanish
References: 17
Page: 1-6
PDF size: 147.44 Kb.
ABSTRACT
Blocking in the spinal erector muscle plane is an analgesic alternative recently
addressed, with special benefit in post herpetic neuralgia. The action of this block,
which is safer and simpler than analgesia neuraxial, is exerted on the dorsal and
ventral branches of the thoracic roots. We report a case of chronic pain due to
postherpetic neuralgia of more than 3 years of evolution. This kind of block was
performed taking as reference T5 transverse process under ultrasonographic vision. A
sensitive block from T2 to T9 was generated when the local anesthetic was
administered in the deep plane of the spinal erector muscle. The objective of this
paper is to discuss our experience with this technique in the control of chronic
thoracic pain, which was an effective analgesic alternative for relieving pain due to
postherpetic neuralgia in elderly patients at high risk.
REFERENCES
Forero M, Adhikary SD, López H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg. Anesth. Pain Med. 2016;41(5):621-7.
Ueshima H, Otake H. Clinical experiences of ultrasound-guided erector spinae plane block for thoracic vertebra surgery. Journal of Clinical Anesthesia. 2017;38:137.
El Boghdadly K, Pawa A. The erector spinal plane block: plain and simple. Anaesthesia doi 2017; 10.1111/anae.13830.
Maigne JY, Maigne R, Guérin-Surville H. Upper thoracic dorsal rami: anatomic study of their medial cutaneous branches. Surg. Radiol. Anat. 1991;13(2):109-12.
Dworkin RH, O'Connor AB, Backonja M, Farrar JT, Finnerup NB, Jensen TS, et al. Pharmacologic management of neuropathic pain: evidence based recommendations. Pain. 2007;132:23751.
Attal N, Gruccu G, Haanpää M, Hansson P, Jensen TS, Nurmikko T, et al. EFNS guidelines on pharmacological treatment of neuropathic pain. Europ J Neurol. 2006;13:1153-69.
Freynhagen R, Bennett MI. Diagnosis and management of neurophatic pain. BMJ. 2009;339:391-5.
Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367:1618-25.
Hansson P, Lacerenza M, Marchettini P. Aspects of clinical and experimental neuropathic pain: the clinical perspective. In Hansson PT, Fields HL, Hill RG, Marchettini P, eds. Neuropathic pain; pathophysiology and treatment. Seattle: IASP Press; 2001. p. 1-18.
Bennett M. The LANSS pain scale: the Leeds assessment of neuropathic symptoms and signs. Pain 2001;92:147-57.
Abraham N, Murray J. The belt of roses from hell: historical aspects of herpes zoster and postherpetic neuralgia. En: Herpes Zoster and postherpetic neuralgia. CPN Watson, Amsterdam. Elsevier. 1993, pp. 1-6.
Buchbinder SP, Katz MH, Hessol NA, Liu JY, O'Malley PM, Underwood R, Holmberg SD. Herpes zoster and immunodeficiency virus infection. J Infect Dis 1992;166;1153- 6.
Bonica J. Buckley PE. Regional analgesia with local anesthetics. Block of the sympathetic nervous system. En Bonica JJ. The management of pain. De Lea and Febiger. 1990, p. 1883.
Dan K, Higa K, Noda B. Nerve block for herpetic pain. Adv Pain Res 1985;9:831-8.
Ferris LM, Martin GH. The use of sympathetic nerve block in the ambulatory patient with special reference to its use in herpes zoster. Ann Intern Med 1950;32:257-60.
Blanco R, Parras T, McDonnell JG, Prats-Galino A. Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anaesthesia 2013;68:1107-13.
Voscopoulos C, Palaniappan D, Zeballos J, Ko H, Janfaza D, Vlassakov K. The ultrasound guided retrolaminar block. Can. J. Anesth. 2013;60:888-95.