Bloqueo bilateral del plano del músculo erector de la columna espinal para cirugía de pectus excavatum y pectus carinatum en 2 pacientes pediátricos

Nardiello, M.A.; Herlitz, M.

doi:10.1016/j.redar.2018.04.006

Cited by 16 publications

(9 citation statements)

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“…It was first reported for postoperative analgesia requirements in chest-wall deformities, such as funnel chest and pectus carinatum, and thereafter in more complicated procedures, such as video-assisted thoracotomy surgery, thoracostomy, and thoracotomy with esophagectomy. 8,34,35,37,47,48 There have been both case reports and clinical studies of bilateral ESPB used in cardiovascular surgeries. Bilateral ESPB led to requirement of no analgesia for the first 9 hours following aortic valve-replacement surgery.…”

Section: Thoracic and Cardiovascular Surgeriesmentioning

confidence: 99%

“…Most cases have involved abdominal procedures, with some reports of ESPB in thoracic, cardiac, and urological procedures, reporting effective postoperative analgesia with a decrease in rescue-analgesia requirements. 8,19,33,37,42,48,56,64,67,75 In all cases, ESPB was performed under general anesthesia and preoperatively. While single-shot doses were used in day-surgery cases, catheterization and intermittent boluses have been reported for thoracic and cardiac procedures for postoperative analgesia.…”

Section: Pediatric Surgeriesmentioning

confidence: 99%

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<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

Tulgar¹,

Ahıskalıoğlu²,

Cassai³

et al. 2019

JPR

119

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Erector spinae plane block (ESPB) is a newly described interfascial plane block, and the number of articles on the bilateral application of ESPB is increasing in the literature. In this paper, in addition to analyzing bilateral ESPB cases and studies published so far, we aimed to review the relevant anatomy, describe the mechanism of spread of the injectant, demonstrate varying approaches to ESPB, and summarize case reports and clinical trials, as well as provide current insight on this emerging and popular block. Randomized controlled studies, comparative studies of ESPB versus other methods, and pharmacokinetic studies of bilateral applications must be the next step in clearly understanding bilateral ESPB.

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Section: Thoracic and Cardiovascular Surgeriesmentioning

confidence: 99%

Section: Pediatric Surgeriesmentioning

confidence: 99%

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

Tulgar¹,

Ahıskalıoğlu²,

Cassai³

et al. 2019

JPR

119

View full text Add to dashboard Cite

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“…Indications for ESPB for postoperative analgesia in pediatric surgeries to date include thoracotomy [8][9], video-assisted thoracoscopic surgery [10], pectus excavatum/carinatum [11], vascular ring repair [12], sternotomy [13], major abdominal surgery [14], laparoscopic cholecystectomy [15][16], nephrectomy [17], pyeloplasty [18], inguinal hernia repair [7,[19][20][21], orchiopexy [7], hydrocelectomy [7], varicocelectomy [22] and hip surgery [23]. There has also been one report of its use in pain management in pediatric palliative care [24].…”

Section: Discussionmentioning

confidence: 99%

“…There have been a few randomized prospective studies of ESPB in terms of its clinical effectiveness, but all, with one exception, have involved adults [5][6][7]. Pediatric case reports are also limited compared to adults [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. We have been applying ESPB almost since it was first described.…”

Section: Introductionmentioning

confidence: 99%

Defining the Indications and Levels of Erector Spinae Plane Block in Pediatric Patients: A Retrospective Study of Our Current Experience

Aksu¹,

Gürkan²

2019

Cureus

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Aim The primary aim of this study was to evaluate the indications, effectiveness, application levels, and local anesthetic (LA) dosages used in erector spinae plane block (ESPB) in pediatric patients  based on our clinical data. The secondary aim was to compare previously reported pediatric ESPBs with our data and to prepare a mini-guide for future clinical applications.Materials and methodsOne hundred and forty-one pediatric patients who received ESPB and were operated by the Department of Pediatric Surgery were included in this retrospective observational study. ESPB is routinely performed with 0.5 ml/kg 0.25% bupivacaine (max 20 ml). Demographic data and the type of surgery were recorded. Face, Legs, Activity, Cry, and Consolability (FLACC) or Numeric Rating Scale (NRS) scores, analgesic requirements, and the type of analgesic administered at postoperative period were recorded.ResultsESPB was applied using three different techniques, the classic approach, the transverse approach, and the Aksu approach. Unilateral ESPB was performed on 112 patients, while 29 received a bilateral block. ESPB used for 13 different indications.ConclusionESPB is a relatively safe and effective procedure for achieving opioid-free postoperative analgesia in many different surgical procedures in pediatric patients.

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“…1,2 A pesar de su potencial uso en cirugías torácicas, existe un unico registro del bloqueo ESP como método analgésico tras la cirugía de colocación de la barra de Nuss. 10 A continuación presentamos uno de los primeros reportes (si no el primero) del uso del bloqueo ESP torácico bilateral, como principal método analgésico posoperatorio libre de opioides para el retiro de la barra de Nuss en un paciente adolescente.…”

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Use of the bilateral erector spinae (ESP) block for postoperative analgesia following the removal of the Nuss bar

Herrera-Mora¹,

Mojica-Manrique

Salas-González³

2019

Colombian Journal of Anesthesiology

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Introducción: El bloqueo erector de la espina (ESP) es un bloqueo interfascial relativamente nuevo, sobre el cual se han descrito diferentes aplicaciones, tanto en cirugías abdominales como torácicas. Presentación del caso: Paciente de 17 años programado para el retiro de una barra de Nuss por minitoracotomía, a quien, después de la inducción anestésica, se le realizó un bloqueo ESP bilateral guiado con ecografía, y en su posoperatorio inmediato y seguimiento a las 48 horas no reportó dolor alguno. Conclusión: El bloqueo ESP bilateral parece ser prometedor, de fácil realización y apunta a ser una alternativa aceptable al catéter epidural (estándar de oro en el manejo analgésico en cirugías de tórax), por la cual se obtiene analgesia adecuada y libre de opioides.

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Bloqueo bilateral del plano del músculo erector de la columna espinal para cirugía de pectus excavatum y pectus carinatum en 2 pacientes pediátricos

Cited by 16 publications

References 9 publications

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

Defining the Indications and Levels of Erector Spinae Plane Block in Pediatric Patients: A Retrospective Study of Our Current Experience

Use of the bilateral erector spinae (ESP) block for postoperative analgesia following the removal of the Nuss bar

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