The 66th
Scientific Meeting
초록접수 미리보기
| 18S-045 |
Erector spinae plane block for the pain control in patient with skin metastasis due to breast cancer - A case report
Department of Anaesthesiology and Pain Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul,
Republic of Korea
Introduction
The erector spinae plane block(ESPB) is known to have various analgesic effects on pain around the thoracic area. We report a case of successful pain relief by using ESPB in a patient with skin metastasis due to breast cancer.
Case
A 63-year-old female patient rated her pain as 8/10 on a numeric rating scale (NRS) pain scores around right Side chest wall area at the level of T5 to T9. We recommended thoracic epidural block, but she was afraid of such an axial block like as epidural block. Therefore, we performed ultrasound-guided ESPB with 20 ml of 0.5% lidocaine HCl at the level of T7. After the procedure her pain decreased from NRS 8/10 to NRS 0-1/10. We performed the ESPB twice. Her pain relief was maintained during the follow-up period of two months. In this case, the ESPB produce to be an extensive multi-dermatomal sensory block.
Conclusion
The ESPB have benefit as a simple and safe technique for thoracic analgesia in cancer pain with skin metastasis. The ESPB could be one of the options as an analgesic modality in chest wall pain.
(A) Skin metastasis on the right chest at the level of T5 to T9.
(B) Ultrasound-guided erector spinae plane block.
(TP = transverse process, SP = spinous process, arrowheads = block needle.)
The erector spinae plane block(ESPB) is known to have various analgesic effects on pain around the thoracic area. We report a case of successful pain relief by using ESPB in a patient with skin metastasis due to breast cancer.
Case
A 63-year-old female patient rated her pain as 8/10 on a numeric rating scale (NRS) pain scores around right Side chest wall area at the level of T5 to T9. We recommended thoracic epidural block, but she was afraid of such an axial block like as epidural block. Therefore, we performed ultrasound-guided ESPB with 20 ml of 0.5% lidocaine HCl at the level of T7. After the procedure her pain decreased from NRS 8/10 to NRS 0-1/10. We performed the ESPB twice. Her pain relief was maintained during the follow-up period of two months. In this case, the ESPB produce to be an extensive multi-dermatomal sensory block.
Conclusion
The ESPB have benefit as a simple and safe technique for thoracic analgesia in cancer pain with skin metastasis. The ESPB could be one of the options as an analgesic modality in chest wall pain.
(A) Skin metastasis on the right chest at the level of T5 to T9.
(B) Ultrasound-guided erector spinae plane block.
(TP = transverse process, SP = spinous process, arrowheads = block needle.)
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