{"pk":1063,"title":"Erector Spinae Plane Block in the Emergency Department for Upper Extremity: A Case Report","subtitle":null,"abstract":"Introduction:\n The erector spinae plane block (ESPB) has been described as an effective analgesic modality in the emergency department (ED) for thoracic pain. It has not previously been described to treat ED patients with pain in the upper extremity. \nCase Report:\n We present a case of a 52-year-old female who presented to the ED with an acute exacerbation of her chronic radicular left arm pain originating after a fall she sustained one year prior. After a variety of analgesic modalities failed to control her pain, an ESPB was used to successfully treat her pain and facilitate discharge from the ED. \nConclusion:\n A significant portion of patients who present to the ED have underlying chronic pain; however, opioids are a potentially dangerous and ineffective modality to treat chronic pain. In addition to avoiding opiates, the ESPB has the advantage of preserving motor function, thus avoiding the complications associated with brachial plexus blockade.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"erector spinae plane block"},{"word":"regional anesthesia"},{"word":"upper extremity"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8pf8d43n","frozenauthors":[{"first_name":"Daniel","middle_name":"H.","last_name":"Lee","name_suffix":"","institution":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Marc","middle_name":"L.","last_name":"Martel","name_suffix":"","institution":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Robert","middle_name":"F.","last_name":"Reardon","name_suffix":"","institution":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"}],"date_submitted":"2021-07-28T11:45:33-07:00","date_accepted":"2021-07-28T11:45:33-07:00","date_published":"2021-07-28T11:46:28-07:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1063/galley/805/download/"}]}