{
  "abstract": "Application for ESRA Abstract Prizes:Background and Aims Ivor-Lewis esophagectomy is a challenging operation involving multiple body cavities and is associated with a high risk for intraoperative and postoperative morbidity and significant postoperative pain.Methods We present four cases where erector spinae plane (ESPB) block, transversus abdominis plane (TAP) block, or paravertebral block (PB) were successfully used for intraoperative and postoperative pain control for Ivor Lewis esophagectomy as a part of opioid-sparing anesthesia in patients with contraindications for, or refusal of an epidural.Results This case series presents four patients with ASA status III scheduled for hybrid Ivor-Lewis esophagectomy for esophageal carcinoma. In all patients, pre-anesthesia induction ESPB was performed in a sitting position with a bilateral catheter placement under a linear probe ultrasound guidance. Three patients received ESPB at Th5 level, and one at Th8 with the addition of PB at Th4 level with 5 mL of 0.5% Levobupivacaine. After anesthesia induction, a bilateral TAP block was performed with a single shot of 20 mL of 0.25% Levobupivacaine. Anesthesia was maintained with Sevoflurane (0.7 MAC) and a continuous infusion of ketamine (0.4 ml/kg/h). The average duration of an operation was 7.3 hours, and the total amount of administered fentanyl was 100 mcg per patient. All patients were extubated at the end of surgery and reported no pain or nausea on arousal. Postoperative analgesia was managed with continuous infusion of 0.125% Levobupivacaine through ESPB catheters for two days and non-opioid analgesics intravenously.Conclusions ESPB and TAP block are promising techniques for Ivor-Lewis esophagectomy, offering a good safety profile and effective analgesia.",
  "authors": [
    {
      "affiliations": [
        "University of Belgrade, School of Medicine, University Clinical Centre of Serbia, Belgrade, Serbia"
      ],
      "name": "Jelena Velickovic"
    },
    {
      "affiliations": [
        "Center for Anaesthesia, University Clinical Center of Serbia, Belgrade, Serbia"
      ],
      "name": "Bojana Miljković"
    },
    {
      "affiliations": [
        "University of Belgrade, School of Medicine, Clinic for Digestive Surgery, University Clinical Center of Serbia, Belgrade, Serbia"
      ],
      "name": "Dejan Veličković"
    },
    {
      "affiliations": [
        "Center for Anaesthesia, University Clinical Center of Serbia, Belgrade, Serbia"
      ],
      "name": "Jovan Perić"
    },
    {
      "affiliations": [
        "University of Belgrade, School of Medicine, Clinic for Digestive Surgery, University Clinical Center of Serbia, Belgrade, Serbia"
      ],
      "name": "Vladimir Šljukić"
    },
    {
      "affiliations": [
        "Center for Anaesthesia, University Clinical Center of Serbia, Belgrade, Serbia"
      ],
      "name": "Dubravka Djorović"
    }
  ],
  "title": "P335 Ultrasound-guided blocks of the thoracic and abdominal walls as part of an opioid-sparing anesthesia for ivor-lewis esophagectomy: a case series",
  "uid": "e29958be-d760-5b0f-85f8-5ed0234e62f7"
}