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Liposomal Bupivacaine in Erector Spinae Plane Block and Interscalene Block for Scapular and Proximal Humerus Resections

DOI: 10.4236/ojanes.2023.137013, PP. 135-139

Keywords: Acute Pain, Erector Spinae Plane Block, Phrenic Nerve, Liposomal Bupivacaine—Regional Anesthesia, Spindle Cell Sarcoma

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Abstract:

Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.

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