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Updated: Jan 21, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Erector Spinae Plane Blocks in Major Hepatopancreaticobiliary Surgery: A Case Series
Shrijit Nair1, Siobhan McGuinness, Fouad Masood
1From the Department of Anesthesia and Intensive Care Medicine, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
Abstract:
Hepatopancreaticobiliary (HPB) surgery is major upper abdominal surgery with considerable risk of pulmonary complications related to postoperative pain. While epidural analgesia remains an effective analgesic technique for upper abdominal surgery, HPB surgery poses challenges to its use due to coagulopathy. Erector spinae plane (ESP) blocks are a promising alternative to epidurals. Injection of local anesthetic deep to the erector spinae muscle plane and placement of a catheter for prolonged effect provide both somatic and visceral analgesia for both thoracic and abdominal surgery. We describe a series of 3 cases that illustrate the efficacy of ESP blocks after major HPB surgery.
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