Bilateral single shot erector spinae plane block for pectus excavatum and pectus carinatum surgery in 2 pediatric patients

Nardiello, M.A.; Herlitz, M.

doi:10.1016/j.redare.2018.09.010

Cited by 12 publications

(15 citation statements)

References 10 publications

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“…After reviewing the literature regarding ESPBs in children, we found 33 publications as of May 2019 (see Table ) . These included 28 different case reports (three or less patients), three case series (greater than three patients), and two randomized controlled trials.…”

Section: Resultsmentioning

confidence: 99%

Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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Background An erector spinae plane block is a relatively new regional anesthetic technique. Apart from case reports and small series, the literature regarding pediatric use is limited. Aim Our objective was to determine the efficacy of the erector spinae plane block in children by measuring the heart rate response to incision. Secondary objectives included feasibility, safety, opioid consumption, and pain scores. Furthermore, we reviewed this block in children published since 2016. Study design Case Series; Level of evidence, IV. Methods With Institutional Review Board approval, a retrospective chart review was conducted on all patients who received erector spinae plane block for surgery between October 2017 and May 2019 at a single institution. Blocks were performed under anesthesia, using ultrasound guidance prior to surgical incision. Block details and hemodynamic and analgesic data were collected. In addition, a PubMed literature review was conducted to identify all erector spinae plane block related publications in patients ≤18 years of age. Results About 164 patients, 2 days‐19.4 years, weighing 2.3‐94.7 kg, received erector spinae plane blocks. For more than 79% of single injection blocks, placement time was ≤10 minutes. Using a heart rate increase of <10% at skin incision as criterion, 70.1% of patients had a successful block. Only 20% required long‐acting opioids intraoperatively. In a subset of infants who underwent gastrostomy surgery using a dose of 0.5 mL/kg, a local anesthetic spread of at least five dermatomes (0.1 mL/kg/dermatome) was achieved. Per the literature review, 33 publications described erector spinae plane block in 128 children. No complications were reported. Conclusion Erector spinae plane blocks are relatively easy to perform in children with no complications reported to date. The efficacy of the block for a broad spectrum of surgeries, involving incisions from T1 to L4, is encouraging.

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Section: Resultsmentioning

confidence: 99%

Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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“…The most relevant findings from clinical trials and observational studies are described in the results. The erector spinae plane block: a review [26] Pneumothorax [38] Anesthesia [30][31][32] Plus S [31] Combined blockade [25][26][27] Bilevel [37] VATS [ [60] Anesthesia [61,62] ICU loss stay [64] Valve surgery [66,67] 3 T2/T3/T7 [88] Anesthesia [85,86] No USG [85] Spine surgery [ The erector spinae plane block: a review…”

Section: Methodsmentioning

confidence: 99%

The erector spinae plane block: a narrative review

Kot

Rodríguez

Granell

et al. 2019

Korean J Anesthesiol

222

146

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Regional anesthesia and pain management have experienced advances in recent years, especially with the advent of fascial plane blocks. The erector spinae plane block is one of the newest techniques to be described. In the past two years, publications referring to ESP block have increased significantly. The objective of this review is to analyze the articles about ESP block that have been published to date. We performed a search in the main databases and identified 368 articles. After a selection of the relevant articles, 125 studies were found eligible and were included in the review. The ESP block is performed by depositing the local anesthetic in the fascial plane, deeper than the erector spinae muscle at the tip of the transverse process of the vertebra. Many cases of its use have been described with satisfactory results in the treatment of both acute pain and chronic pain. The applicability of the technique covers many clinical scenarios. Of the 98 case reports reviewed, 12 and 87 articles, respectively described the technique as a treatment for chronic pain and acute pain. The single-shot was the most frequently used technique. As described in the articles published to date, the technique is easy to perform and has a low rate of complications. However, despite the effectiveness of the technique, further studies are necessary to obtain more evidence of its actions.

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“…La aplicación del bloqueo ESP en la población adulta abarca diversos procedimientos: Manejo del dolor posoperatorio en cirugía de tórax, abdominal y de mama, así como facilidad de extubación de pacientes en UCI [2], la analgesia posoperatoria después de una cesárea [5], [6], dolor de hombro y artroplastía total de cadera [5].…”

Section: Discussionunclassified

“…Por el contrario, el reporte de uso en pacientes pediátricos es mucho más limitado; el primer caso se reportó en un paciente de 7 años durante una cirugía oncológica [3], posteriormente, un paciente de 3 años sometido a toracotomía abierta [7], un paciente de 3 años en una cirugía torácica de la pared posterior [8], cirugía de hernia inguinal en paciente prematuro de 29 semanas, quien fue operado a los dos meses de edad [9] y dos pacientes de 13 años diagnosticados con pectus excavatum y pectus carinatum respectivamente [2].…”

Section: Discussionunclassified

“…El bloqueo ESP se ha hecho popular entre los anestesiólogos, en primera instancia porque el músculo erector de la columna vertebral se extiende a nivel toracolumbar [1], permitiendo una extensión céfalo-caudal y la cobertura de múltiples dermatomas [1], [3], [4], adicionalmente, es una técnica sencilla y relativamente segura, que permite fácilmente la identificación anatómica con ultrasonido [1], [3], este último a la vez sirve como guía para administrar el volumen necesario de LA, evitando la toxicidad; finalmente, no existen riesgos de lesión de estructuras vecinas [1] porque el lugar donde se introduce la aguja está alejado de la pleura y las estructuras vasculares principales [3], disminuyendo el riesgo de daño neurológico y neumotórax [2].…”

Section: Bloqueo Plano Erector De La Espina En Toracotomía Pediátricaunclassified

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Bloqueo plano erector de la espina en toracotomía pediátrica

Cobilla¹,

Acevedo²,

García³

et al. 2021

Rev. chil. anest.

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Erector spinae plane block (ESP) is a regional anesthesia technique consisting of blocking the interfascial plane, where local anesthetic (LA) is injected at the site where the dorsal branch of the spinal nerve emerges. There are various publications on the application of the block (EPS) in the adult population, however there are few reports of the use of this block in pediatric surgery. We present the first case report of an infant under 9 months of age with the presence of a tumor in the anterior mediastinum, who underwent a resection through the 6th intercostal space, previous blockage of the erector spinae under ultrasound vision. The patient did not present adverse effects and was discharged on the fourth postoperative day.

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Bilateral single shot erector spinae plane block for pectus excavatum and pectus carinatum surgery in 2 pediatric patients

Cited by 12 publications

References 10 publications

Early experience with erector spinae plane blocks in children

Early experience with erector spinae plane blocks in children

The erector spinae plane block: a narrative review

Bloqueo plano erector de la espina en toracotomía pediátrica

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