Multimodal Regional Anesthesia Combining Spinal and Erector Spinae Plane Block for Spine Surgery in a High-Risk Patient with Systemic Sclerosis: A Case Report
| Author | Alireza Shakeri | en |
| Author | Jina Behjati | en |
| Orcid | Alireza Shakeri [0000-0001-8095-7168] | en |
| Accessioned Date | 2025-03-31T01:32:07Z | |
| Issued Date | 2025-04-30 | en |
| Abstract | Introduction: The erector spinae plane block (ESPB) is a novel regional anesthesia technique that is increasingly incorporated into multimodal analgesia as part of enhanced recovery after surgery (ERAS) pathways in various surgical procedures, including spine surgery. Case Presentation: We report the successful use of spinal anesthesia (SA), ESPB, and magnesium sulfate in a high-risk patient with systemic sclerosis and pulmonary fibrosis undergoing laminectomy. A multimodal approach was selected due to the patient’s underlying condition. This strategy minimized respiratory complications associated with general anesthesia while providing effective surgical anesthesia and postoperative pain control without opioid-related complications. Conclusions: Our case highlights the utility of ESPB, not only for postoperative pain management but also as a valuable adjunct to primary anesthesia, especially in high-risk patients. | en |
| DOI | https://doi.org/10.5812/aapm-160051 | en |
| URI | https://repository.brieflands.com/handle/123456789/64804 | |
| Keyword | Case Report | en |
| Keyword | Erector Spinae Plane Block (ESPB) | en |
| Keyword | Spinal Anesthesia (SA) | en |
| Keyword | Spine Surgery | en |
| Keyword | Systemic Sclerosis | en |
| Publisher | Brieflands | en |
| Title | Multimodal Regional Anesthesia Combining Spinal and Erector Spinae Plane Block for Spine Surgery in a High-Risk Patient with Systemic Sclerosis: A Case Report | en |
| Type | Case Report | en |