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Papers of the Week

2021 May 29

J Med Case Rep



Opioid-free anesthesia-dexmedetomidine as adjuvant in erector spinae plane block: a case series.


Coviello A, Esposito D, Galletta R, Maresca A, Servillo G
J Med Case Rep. 2021 May 29; 15(1):276.
PMID: 34049564.


Laparoscopic pain is related to the stretching of the peritoneum and peritoneal irritation caused by insufflation of the parietal peritoneum with carbon dioxide. In 2017, erector spinae plane block (ESPB) was described for management of postoperative pain following open and laparoscopic abdominal surgery. The use of multimodal anesthesia reduces both intraoperative and postoperative opioid use and improves analgesia. The addition of dexmedetomidine to the anesthetic mixture significantly prolongs analgesia, without clinically significant side effects.