Abstract
ESPB that has axial and sagittal spreads allows it to be as effective as the central blocks. Although its effectiveness on postoperative thorax analgesia has been vastly reported, the number of studies on its use in combination with other blocks for sedation purposes in the management of breast surgery anesthesia is limited. We present the anesthetic management of a patient for accessory breast tissue surgery by using ESPB block from T1. We observed that the effect of ESPB on skin incision and skin-related tissue retractions was limited while postoperative pain control was sufficiently managed by the skin infiltration with ESPB.
Highlights
Regional methods can be used and reliably in upper extremity surgeries
Erector Spinae Plane Block (ESPB) has been recently defined, its use for various indications increases the popularity of ESPB
ESPB was chosen for anesthesia in our case with accessory breast tissue covering the axillary fossa due to its location and the patient’s preference against general anesthesia
Summary
Regional methods can be used and reliably in upper extremity surgeries. The wide range of innervation of the axillary fossa, including cervical and thoracic branches, makes the selection of an isolated block difficult [1]. Neck and shoulder junction blocks either used in isolation or combination may be insufficient for the anesthesia of this region.
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