A clinical case of the use of an extended ESP block during simultaneous surgery in plastic surgery

Aesthetic plastic surgery is an actively developing branch of medicine, in which operations are accompanied by a pain syndrome that requires, in accordance with modern concepts, a multimodal approach to anesthesia. An important role in the multimodal approach is played by regional, ULTRASOUND-associated anesthesia methods, which contribute not only to reducing intraoperative opioid load, but also to reducing pain in the postoperative period. This article describes a clinical case of the use of a TAP block and an extended ESP block in a patient with remission of opioid dependence who underwent simultaneous surgical intervention in the form of abdominoplasty, breast tightening and enlargement. Narcotic analgesics were not used during anesthesia, as well as throughout the entire postoperative period. The use of the ESP block helps to reduce pain in the intraoperative and postoperative period.