Erector Spinae Plane Block with Ultrasound- and CT-Based Double-Lumen Tube Selection for Thoracotomy in Giant Pulmonary Hydatid Cyst: A Case Report
Vol 6 | Issue 2 | July-December 2025 | Page 00-00 | Nazia Nazir , Bhumika Gautam , Shivi Mishra , Samiksha Khanuja , Savita Gupta
DOI: https://doi.org/10.13107/ijra.2025.v06.i02.000
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).
Submitted: 20-07-2025; Reviewed: 15-08-2025; Accepted: 17-10-2024; Published: 10-12-2025
Authors: Nazia Nazir [1], Bhumika Gautam [1], Shivi Mishra [1], Samiksha Khanuja [1], Savita Gupta [1]
[1] Department of Anesthesiology and Critical Care Government Institute of Medical Sciences, Greater Noida, UP, India.
Address of Correspondence
Dr. Nazia Nazir,
Department of Anesthesiology and Critical CareGovernment Institute of Medical Sciences, Greater Noida, UP, India.
E-mail: nazunazir@gmail.com
Abstract
Background: Excision of giant pulmonary hydatid cysts carries high risks of cyst rupture, anaphylaxis, and respiratory compromise, necessitating precise lung isolation and robust regional analgesia.
Case Description: A 35-year-old female presented for posterolateral thoracotomy to excise a giant pulmonary hydatid cyst. The primary anesthetic goals were to ensure atraumatic lung isolation and minimize postoperative pulmonary complications.
Intervention: A multimodal approach was utilized: airway ultrasound and CT imaging were combined to precisely select a left-sided double-lumen tube (DLT). For analgesia, an ultrasound-guided erector spinae plane (ESP) block was administered preoperatively to facilitate an opioid-sparing technique.
Outcome: The strategy resulted in effective lung isolation, excellent intraoperative stability, and superior postoperative pain control. The patient was extubated early, demonstrated improved respiratory mechanics, and achieved an uneventful recovery with minimal opioid requirements.
Conclusion: Combining image-guided airway assessment with the ESP block provides a safe, effective, and comprehensive anesthetic strategy for high-risk thoracic procedures.
Keywords: Airway ultrasound, Double-lumen tube sizing, Erector spinae plane block, Thoracotomy analgesia, Pulmonary hydatid cyst, One-lung ventilation
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| How to Cite this Article: Nazir N, Gautam B, Mishra S, Khanuja S, Gupta S. Erector Spinae Plane Block with Ultrasoundand CT-Based Double-Lumen Tube Selection for Thoracotomy in Giant Pulmonary Hydatid Cyst: A Case Report. International Journal of Regional Anaesthesia. July-December 2025; 6(2): 00-00. DOI: https://doi.org/10.13107/ijra.2025.v06.i02.00 |
