Lumbosacral paraspinal interfascial plane blocks for pain control after feminizing genital gender affirmation surgery

Sudipta Sen; Johanna B. De Haan; Grace Guvernator; Andrzej P. Kwater; Xuan T. Langridge; Daniel J. Freet; Michelle Ge; Nadia Hernandez

doi:10.2217/pmt-2020-0062

Lumbosacral paraspinal interfascial plane blocks for pain control after feminizing genital gender affirmation surgery

Sudipta Sen, Johanna B. De Haan, Grace Guvernator, Andrzej P. Kwater, Xuan T. Langridge, Daniel J. Freet, Michelle Ge, Nadia Hernandez

Anesthesiology & PeriOperative Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Aim: Feminizing genital gender affirmation surgery (fgGAS) is increasing in prevalence in the USA. Management of postoperative pain following fgGAS is challenging. We report a series of patients where post-fgGAS pain was adequately controlled with paraspinal blocks. Materials & methods: This is a case series of three patients who received bilateral lumbar and sacral erector spinae plane blocks after fgGAS. Block techniques, medications administered, opioid requirements and pain scores were reviewed. Results: Erector spinae plane blocks provided adequate analgesia for 24-48 h following the block. Conclusion: Currently, there are two regional anesthetic techniques described for the treatment of postoperative pain after fgGAS. We describe two additional approaches as options for improved pain management in this patient population.

Original language	English (US)
Pages (from-to)	277-286
Number of pages	10
Journal	Pain management
Volume	11
Issue number	3
DOIs	https://doi.org/10.2217/pmt-2020-0062
State	Published - May 2021

Keywords

acute pain
analgesia
pain management

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.2217/pmt-2020-0062

Cite this

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title = "Lumbosacral paraspinal interfascial plane blocks for pain control after feminizing genital gender affirmation surgery",

abstract = "Aim: Feminizing genital gender affirmation surgery (fgGAS) is increasing in prevalence in the USA. Management of postoperative pain following fgGAS is challenging. We report a series of patients where post-fgGAS pain was adequately controlled with paraspinal blocks. Materials & methods: This is a case series of three patients who received bilateral lumbar and sacral erector spinae plane blocks after fgGAS. Block techniques, medications administered, opioid requirements and pain scores were reviewed. Results: Erector spinae plane blocks provided adequate analgesia for 24-48 h following the block. Conclusion: Currently, there are two regional anesthetic techniques described for the treatment of postoperative pain after fgGAS. We describe two additional approaches as options for improved pain management in this patient population.",

keywords = "acute pain, analgesia, pain management",

author = "Sudipta Sen and {De Haan}, {Johanna B.} and Grace Guvernator and Kwater, {Andrzej P.} and Langridge, {Xuan T.} and Freet, {Daniel J.} and Michelle Ge and Nadia Hernandez",

year = "2021",

month = may,

doi = "10.2217/pmt-2020-0062",

language = "English (US)",

volume = "11",

pages = "277--286",

journal = "Pain management",

issn = "1758-1869",

publisher = "CORE Medical Journals",

number = "3",

}

TY - JOUR

T1 - Lumbosacral paraspinal interfascial plane blocks for pain control after feminizing genital gender affirmation surgery

AU - Sen, Sudipta

AU - De Haan, Johanna B.

AU - Guvernator, Grace

AU - Kwater, Andrzej P.

AU - Langridge, Xuan T.

AU - Freet, Daniel J.

AU - Ge, Michelle

AU - Hernandez, Nadia

PY - 2021/5

Y1 - 2021/5

N2 - Aim: Feminizing genital gender affirmation surgery (fgGAS) is increasing in prevalence in the USA. Management of postoperative pain following fgGAS is challenging. We report a series of patients where post-fgGAS pain was adequately controlled with paraspinal blocks. Materials & methods: This is a case series of three patients who received bilateral lumbar and sacral erector spinae plane blocks after fgGAS. Block techniques, medications administered, opioid requirements and pain scores were reviewed. Results: Erector spinae plane blocks provided adequate analgesia for 24-48 h following the block. Conclusion: Currently, there are two regional anesthetic techniques described for the treatment of postoperative pain after fgGAS. We describe two additional approaches as options for improved pain management in this patient population.

AB - Aim: Feminizing genital gender affirmation surgery (fgGAS) is increasing in prevalence in the USA. Management of postoperative pain following fgGAS is challenging. We report a series of patients where post-fgGAS pain was adequately controlled with paraspinal blocks. Materials & methods: This is a case series of three patients who received bilateral lumbar and sacral erector spinae plane blocks after fgGAS. Block techniques, medications administered, opioid requirements and pain scores were reviewed. Results: Erector spinae plane blocks provided adequate analgesia for 24-48 h following the block. Conclusion: Currently, there are two regional anesthetic techniques described for the treatment of postoperative pain after fgGAS. We describe two additional approaches as options for improved pain management in this patient population.

KW - acute pain

KW - analgesia

KW - pain management

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Lumbosacral paraspinal interfascial plane blocks for pain control after feminizing genital gender affirmation surgery

Abstract

Keywords

ASJC Scopus subject areas

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