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Erector Spinae Plane Block as an Armamentarium for Pain Management in a Pyeloplasty Patient With Arrhythmogenic Right
Sandeep Veer1, Abhishek Raj1, Ram Prakash B U2
1Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Abstract:
This case report presents the anaesthesia management of a 21-year-old male with arrhythmogenic right ventricular cardiomyopathy (ARVC) undergoing pyeloplasty. An erector spinae plane block (ESPB) was employed as part of a multimodal analgesia approach to minimize intraoperative stress and reduce opioid consumption. The ESPB was administered using 20 mL of 0.5% ropivacaine with clonidine under ultrasound guidance, providing effective somatic and visceral analgesia. The intraoperative period was uneventful, and the patient had a stable postoperative recovery. This case highlights the potential of ESPB as a safe and effective anaesthesia technique in patients with ARVC, offering enhanced postoperative pain management and aligning with Enhanced Recovery After Surgery (ERAS) protocols.
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