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dc.contributor.authorAhıskalıoğlu, Ali
dc.contributor.authorTulgar, Serkan
dc.contributor.authorGürsaç Çelik, Mine
dc.contributor.authorÖzer, Zeliha
dc.contributor.authorAlıcı, Hacı Ahmet
dc.contributor.authorAydın, Muhammed Enes
dc.date.accessioned2020-04-16T11:35:44Z
dc.date.available2020-04-16T11:35:44Z
dc.date.issued2020en_US
dc.identifier.citationAhıskalıoğlu, A., Tulgar, S., Gürsaç Çelik, M., Özer, Z., Alıcı, H. A. ve Aydın, M. E. (2020). Lumbar erector spinae plane block as a main anesthetic method for hip surgery in high risk elderly patients: initial experience with a magnetic resonance imaging. Eurasian Journal of Medicine, 52(1), 16-20. https://dx.doi.org/10.5152/eurasianjmed.2020.19224en_US
dc.identifier.issn1308-8734
dc.identifier.issn1308-8742
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5133
dc.identifier.urihttps://dx.doi.org/10.5152/eurasianjmed.2020.19224
dc.description.abstractObjective: Since initial description by Forero for thoracic region, ultrasound guided erector spinae plane (ESP) block has experienced several surgeries for postoperative pain management, chronic pain or surgical anesthesia. Although ESP block has been reported to provide effective analgesia in the thoracic region, its effect in lumbar region still unclear. In this study we aimed to showed our successful experience with lumbar ESP block as a main anesthetic technique in fifteen high risk elderly patients undergoing hip surgery with mild propofol sedation.Materials and Methods: In this observational study high risk elderly fifteen patients received lumbar ESP block as a main anesthetic technique with mild propofol sedation. 40 mL of local anesthetic mixture (20 mL bupivacaine 0.5%, 10 mL lidocaine 2%, and 10 mL normal saline) was administered between the erector spinae muscles and transverse process at the level of the 4th lumbar vertebra. Also we demonstrate magnetic resonance images and discuss the anatomic basis of lumbar ESP block.Results: All patients' surgeries were completed without requirement for general anesthesia or local anesthesia infiltration of the surgical site. All patients' pain scores were <2/10 in the recovery room. Significant contrast spread was observed between the Th12 and L5 transverse process and erector spinae muscle and between multifidus muscle and iliocostal muscle at the L2-4 levels. Contrast material was observed at the anterior of the transverse process spreading to the paravertebral, foraminal and partially epidural area/spaces and also in the areas where the lumbar nerves enter the psoas muscle.Conclusion: Lumbar ESP block when combined with mild sedoanalgesia provides adequate and safe anesthesia in high risk elderly patients undergoing hip surgery.en_US
dc.language.isoengen_US
dc.publisherAVESen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/us/*
dc.subjectHip Surgeryen_US
dc.subjectErector Spinae Plane Blocken_US
dc.subjectMagnetic Resonance İmagingen_US
dc.subjectHigh Risk Patienten_US
dc.titleLumbar erector spinae plane block as a main anesthetic method for hip surgery in high risk elderly patients: initial experience with a magnetic resonance imagingen_US
dc.typearticleen_US
dc.relation.ispartofEurasian Journal of Medicineen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Algoloji Ana Bilim Dalıen_US
dc.authorid0000-0001-8057-5899en_US
dc.identifier.volume52en_US
dc.identifier.issue1en_US
dc.identifier.startpage16en_US
dc.identifier.endpage20en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.5152/eurasianjmed.2020.19224en_US
dc.identifier.scopusqualityQ3en_US


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