Restarting Rivaroxaban with an Erector Spinae Plane Catheter after Thoracic Surgery

Thoracic epidural analgesia (TEA) is considered the gold standard for acute post-thoracotomy pain; however, catheter placement and removal are contraindicated in anticoagulated patients due to the risk of epidural hematoma [1]. The erector spinae plane (ESP) block/catheter offers an alternative technique for thoracic analgesia with less stringent anticoagulation guidelines [2]. Here, we present the case of a 78-year-old male with a complex history requiring perioperative anticoagulation who underwent successful ESP catheter placement for thoracic analgesia.