Success of erector spinae plane block in emergency breast surgery for hematoma in a patient with a full stomach

Erector spinae block is a relatively new regional block technique that has been increasingly used to provide analgesia in breast surgeries and other thoracic surgeries. In this case report, the successful use of erector spinae block is described in two patients who required emergency surgery due to breast hematomas, in the presence of a full stomach. The erector spinae block technique is performed by injecting local anesthetics into the space located between the transverse processes and the spinous processes of the thoracic vertebrae. Erector spinae block has been associated with a significant reduction in the need for postoperative opioids and with an improvement in postoperative recovery. In patients with a full stomach, erector spinae block could be an effective and safe regional anesthesia technique to provide intraoperative and postoperative analgesia, avoiding the risks associated with endotracheal intubation and general anesthesia.