Erector Spinae Plane Block as an Anesthetic Technique for Open Gastrostomy: A Case Report

The erector spinae plane block (ESPB) is a relatively new technique that has been gaining attention for its versatility in providing thoracoabdominal postoperative analgesia. This case report describes the successful use of a bilateral ESPB with sedation as an anesthetic technique in a 50-year-old male diagnosed with esophageal cancer with a suspected bronchoesophageal fistula, who required an open gastrostomy. Given the patient's condition and the potential high risk of respiratory complications associated with general anesthesia, ESPB was chosen for its potential ability to offer effective surgical anesthesia and postoperative analgesia with minimal risks. A total of 12 mL of ropivacaine 0.5% was administered on each side at T9 level, achieving an effective sensory block from T7 to T10. Throughout the procedure, the patient maintained spontaneous ventilation and experienced no intraoperative complications. This report highlights the potential role of ESPB in high-risk patients. Further research is required to validate its efficacy and safety as an anesthetic technique for minor surgical procedures.