# Erector Spinae Plane Block as an Armamentarium for Pain Management in a Pyeloplasty Patient With Arrhythmogenic Right Ventricular Cardiomyopathy: A Case Report

## TL;DR

This case report shows how a specific nerve block helped manage pain in a patient with a heart condition during a kidney surgery.

## Contribution

Demonstrates the safe use of erector spinae plane block in a patient with arrhythmogenic right ventricular cardiomyopathy.

## Key findings

- ESPB provided effective analgesia with minimal opioid use during pyeloplasty.
- The patient had an uneventful intraoperative and postoperative course.
- ESPB aligns with ERAS protocols for improved recovery.

## Abstract

This case report presents the anaesthesia management of a 21-year-old male with arrhythmogenic right ventricular cardiomyopathy (ARVC) undergoing pyeloplasty. An erector spinae plane block (ESPB) was employed as part of a multimodal analgesia approach to minimize intraoperative stress and reduce opioid consumption. The ESPB was administered using 20 mL of 0.5% ropivacaine with clonidine under ultrasound guidance, providing effective somatic and visceral analgesia. The intraoperative period was uneventful, and the patient had a stable postoperative recovery. This case highlights the potential of ESPB as a safe and effective anaesthesia technique in patients with ARVC, offering enhanced postoperative pain management and aligning with Enhanced Recovery After Surgery (ERAS) protocols.