Erector Spinae Plane Block in a Patient with Ischemic Heart Disease for Percutaneous Nephrolithotomy: A Case Report

Erector spinae plane block is an interfascial plane block that is a novel analgesic technique which is easy to administer. It provides extensive multidermatomal sensory block. It is a simple and safe procedure and is a promise of the future. It has been used to multiple surgeries of the thoracic and abdominal regions like thoracotomy, mastectomy, fibroadenoma, percutaneous nephrolithotomy and so on. Here, we describe the case of a 40year old male patient with ischemic heart disease, posted for percutaneous nephrolithotomy under general anesthesia, supplemented with ultrasound guided erector spinae plane block, with intermittent boluses. The catheter was used for post-operative pain relief for upto 48 hours and later removed. Intraoperative hemodynamics were optimal and post-operative need for multimodal analgesics had reduced.