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Paravertebral Block for a Patient With Achalasia Undergoing a Peroral Endoscopic Myotomy Procedure: A Case Report

Gutman, David A. MD; George, Renuka MD; Moore, Lauren MD

doi: 10.1213/XAA.0000000000001088
Case Reports
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In 2016, the American Medical Association officially dismissed pain as a vital sign quoting the opioid epidemic as a major reason. Clinically, pain remains very relevant and we present the case of a patient with achalasia treated via peroral endoscopic myotomy procedure (POEM). Given that similar patients previously failed traditional pain management modalities, regional anesthesia was used in this patient’s pain management. The positive outcomes yielded from this technique convinced our gastroenterological colleagues to request regional anesthesia for future patients, altering their approach to pain management.

From the Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina

Accepted for publication August 6, 2019.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations are provided in the HTML and PDF versions of this article on the journal’s website.

Address correspondence to David A. Gutman, MD, Department of Anesthesia, Medical University of South Carolina, 167 Ashley Ave, Suite 301, Charleston, SC 29425. Address e-mail to gutman@musc.edu.

Copyright © 2019 International Anesthesia Research Society
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