Application of erector spinae plane block and intravenous dexmedetomidine as analgesia modalities for wake-up test in scoliosis correction surgery: A case report

Abstract

Scoliosis correction surgery can cause neurological deficits. The intraoperative wake-up test is a simple method to assess spinal cord or nerve root injuries. Adequate analgesia is required to prevent the risk of failure and obtain a quality wake-up test. Erector spinae plane block and administration of intravenous dexmedetomidine can provide optimal intraoperative analgesia and facilitate the success of the wake-up test, so it can be an alternative to opioids with a risk of causing opioid-induced hyperalgesia.

Keywords

• dexmedetomidine
• erector spinae plane block
• scoliosis
• wake-up test