A case report of transient motor weakness following Erector Spinae Plane block for aortic bypass surgery

Parnell M. White II, MD; Al-Awwab M. Dabaliz, MBBS; Rita B. Merman, MD; Jae S. Cho, MD; Daniel J. Wyler, MD

Annals of Vascular Surgery - Brief Reports and Innovations (Dec 2021)

A case report of transient motor weakness following Erector Spinae Plane block for aortic bypass surgery

Parnell M. White II, MD,
Al-Awwab M. Dabaliz, MBBS,
Rita B. Merman, MD,
Jae S. Cho, MD,
Daniel J. Wyler, MD

Affiliations

Parnell M. White II, MD: Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA
Al-Awwab M. Dabaliz, MBBS: Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA; Corresponding author at Department of Anesthesiology and Perioperative Medicine, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Rita B. Merman, MD: Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA
Jae S. Cho, MD: Department of Surgery, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA
Daniel J. Wyler, MD: Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA

Journal volume & issue: Vol. 1, no. 2
p. 100023

Abstract

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Erector Spinae Plane Block (ESPB) is a regional anesthesia technique utilized for various surgical procedures. Factors contributing to its emergence include equivalent efficacy compared to its alternatives, while being safer and less technically challenging. Despite this, recent reports have described complications accompanying ESPBs.We describe a case of motor weakness as a complication of ESPB following thoracoabdominal aortic aneurysm repair, which in this setting, may also arise from spinal cord ischemia. Therefore, when using ESPB as an analgesic adjunct for aortic surgery, it is prudent to obtain a baseline neurologic examination to rule out spinal cord ischemia prior to initiating local anesthetic infusions.

Published in Annals of Vascular Surgery - Brief Reports and Innovations

ISSN: 2772-6878 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system; Medicine: Surgery
Website: https://www.sciencedirect.com/journal/annals-of-vascular-surgery-brief-reports-and-innovations

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