Reply to Trignano et al.: General Anesthesia Plus Sacral Erector Spinae Plane Block-Redefining Safe Anesthesia and Analgesia in Gluteal Augmentation
View abstract on PubMed
Summary
This summary is machine-generated.Gluteal augmentation using general anesthesia combined with a sacral erector spinae plane block (S-ESPB) offers enhanced recovery and pain management. This technique provides effective postoperative analgesia, improving patient outcomes after gluteal implant surgery.
Area Of Science
- Anesthesiology
- Plastic Surgery
- Pain Management
Background
- Tumescent anesthesia and sedoanalgesia for gluteal augmentation present anesthesiological concerns, including local anesthetic systemic toxicity and airway safety.
- Lidocaine use may lead to inadequate postoperative pain relief and rebound pain.
Purpose Of The Study
- To present an alternative anesthetic technique for intramuscular gluteal augmentation.
- To evaluate the efficacy and safety of combining general anesthesia with a sacral erector spinae plane block (S-ESPB) for gluteal implant placement.
Main Methods
- A case report of a 23-year-old female undergoing bilateral intramuscular gluteal implant placement.
- General anesthesia supplemented with bilateral sacral erector spinae plane block (S-ESPB) using bupivacaine and lidocaine.
- Ultrasound guidance was used to confirm proper block placement and absence of implant compression on the sacral plexus.
Main Results
- The patient experienced effective postoperative analgesia with pain scores ≤3 for 24 hours.
- Pain management was achieved solely with scheduled oral paracetamol.
- The S-ESPB targeted posterior lumbosacral branches, potentially addressing fascial tension and proprioceptive pain components.
Conclusions
- Combining general anesthesia with fascial plane blocks, such as S-ESPB, enhances safety and recovery quality in gluteal implant surgery.
- S-ESPB provides effective analgesia for gluteal augmentation procedures.
- This approach offers a promising alternative to tumescent anesthesia for gluteal augmentation.