{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T09:26:59Z","timestamp":1787304419909,"version":"build-2736575974"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We report the successful use of erector spinae (ESP) plane block in the management of a patient with severe respiratory failure secondary to chest trauma requiring invasive ventilation and Veno-venous extracorporeal membrane oxygenation (V-V ECMO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report<\/jats:title>\n                    <jats:p>A 64-year-old man with flail chest and severe respiratory failure required V-V ECMO. An ESP plane block on day 3 enabled extubation, mobilisation, and secretion clearance, leading to ECMO weaning after six days and discharge 18\u00a0days post-injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case demonstrating that regional anaesthesia is a safe, feasible option for improving ventilatory mechanics after chest trauma. It can facilitate awake ECMO, enhanced physiotherapy and liberation from respiratory support. Keywords: erector spinae plane block\/ESP block, V-V ECMO, chest trauma, regional anaesthesia, severe respiratory failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591251377577","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T08:48:46Z","timestamp":1757148526000},"page":"1072-1075","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Erector spinae plane block facilitating rapid weaning in an anticoagulated V-V ECMO patient with chest trauma"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6220-9290","authenticated-orcid":false,"given":"Rohit P","family":"Silhi","sequence":"first","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Langrish","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Camporota","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust"},{"name":"King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"crossref","unstructured":"Williams A Bigham C Marchbank A. Anaesthetic and surgical management of rib fractures. BJA Education; 20(10): 332\u2013340.","DOI":"10.1016\/j.bjae.2020.06.001"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14634"},{"key":"e_1_3_5_4_2","unstructured":"British Orthopaedic Association Standards for Trauma. The management of blunt chest wall trauma. https:\/\/www.boa.ac.uk\/static\/ef5f6208-c6dd-4f19-b9b3ee628d28b774\/boast---the-management-of-blunt-chest-wall-trauma.pdf"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.7108"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000451"},{"key":"e_1_3_5_7_2","first-page":"6664712","article-title":"Continuous erector spinae plane block for analgesia after thoracotomy for lung transplantation in an anticoagulated patient","volume":"2021","author":"Mudarth M","year":"2021","unstructured":"Mudarth M, Satyapriya V, Coffman J, et al. Continuous erector spinae plane block for analgesia after thoracotomy for lung transplantation in an anticoagulated patient, Case Rep Anesthesiol 2021; 2021: 6664712.","journal-title":"Case Rep Anesthesiol"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0375-9393.23.17288-9"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.06.020"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14579"},{"key":"e_1_3_5_11_2","unstructured":"Association of Anaesthetists UK guideline for regional anaesthesia in patients with abnormalies of coagulation 2018. https:\/\/anaesthetists.org\/Home\/Resources-publications\/Guidelines\/Regional-anaesthesia-and-patients-with-abnormalities-of-coagulation."},{"key":"e_1_3_5_12_2","first-page":"e001004","article-title":"Forrester - rib fracture fixation in a patient on veno-venous extracorporeal membrane oxygenation following a motor vehicle collision: trauma surgery & acute Care","volume":"7","author":"Fawzy Y","year":"2022","unstructured":"Fawzy Y, Hindin D, Faliks B, et al. Forrester - rib fracture fixation in a patient on veno-venous extracorporeal membrane oxygenation following a motor vehicle collision: trauma surgery & acute Care. Open 2022; 7: e001004.","journal-title":"Open"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcr.2024.101019"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","unstructured":"Muller J Williams K Sherren PB et al. Abstract 357 from EuroELSO 2024 \u2013 24th\u201327th April \u2013 Krakow Poland. Perfusion 2024; 39(1_suppl): 127S\u2013275S. 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