Successful directional thoracic erector spinae plane block after failed lumbar plexus block in hip joint and proximal femur surgery

We read with great interest the clinical experiences using the erector spinae plane blocks (ESPB) for hip and proximal femur surgeries by Tulgar et al. [1]. We are grateful for their work in the identification of contrast spread to lumbar plexus with ESPB as it confirms our experiences with this technique at our institution. With patient assent and parental written consent, we report a case of an 11-year-old female with a history of right hip dysplasia undergoing surgical dislocation of the hip and proximal femoral osteotomy, successfully managed with a caudally-oriented thoracic ESPB following inability to place a nerve-stimulator guided lumbar plexus block (LPB) intraoperatively.
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research