Continuous Erector Spinae Plane block for thoracic surgery in a pediatric patient

Cuadra-Fontaine, Juan Carlos de la; Concha, Mario; Vuletin, Fernando; Arancibia, Hernán

doi:10.1111/pan.13277

Cited by 53 publications

(40 citation statements)

References 4 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%

“…It did not include the safety time‐out. While some authors have described using the prone position, as a group all our blocks are performed in the lateral decubitus (or occasionally a slightly more rotated semi‐prone position for bilateral blocks) with parasagittal ultrasound alignment . In order to maintain consistency in technique across all vertebral levels and to avoid re‐positioning the patient twice, we have not used the lateral (mid‐axillary line) transverse approach …”

Section: Discussionmentioning

confidence: 99%

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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%

Section: Discussionmentioning

confidence: 99%

Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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“…El bloqueo del ESP es una técnica recientemente descrita en pacientes adultos y para manejo de dolor neuropático, según mencionado por los autores (5). Actualmente el bloqueo ESP se viene realizando en la población pediátrica, con solo pocos informes (Tabla I), para manejo del dolor postoperatorio de cirugías torácicas (11)(12)(13)(14)(15)(16)(17), nefrectomía (18), reparación de hernia inguinal (19), colecistectomía laparoscópica (20), displasia de cadera (21) e hipospadias (22). Hasta donde sabemos, el bloqueo ESP para dolor neuropático en niños aún no se ha reportado.…”

Section: Discussionunclassified

Bloqueo del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado

Expósito‐Izquierdo

Tamayo

Carranza

et al. 2020

Rev. Soc. Esp. Dolor.

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Título / Title: Bloqueo del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado / Spinal erector plane block as a neuropathic pain management in post-burned pediatric patient Autores / Authors: del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado / Spinal erector plane block as a neuropathic pain management in post-burned pediatric patient. Rev. Soc. Esp. Dolor. 2020.Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor. ABSTRACTPain management is a critical piece in the general care of the burned child.Neuropathic pain is one of its frequent consequences, which may appear at the beginning or during the wound healing process, accompanied by symptoms predominantly due to stimulation of the sympathetic nervous system, its management being an important challenge.

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“…The erector spinae block, also described in this journal recently, is perhaps the most interesting of the newer tissue plane blocks. The muscles of the back, ie, the trapezius, rhomboids (above T7), and the erector spinae also form tissue planes that can be visualized with ultrasound and utilized for block placement.…”

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confidence: 99%

Innovative peripheral nerve blocks facilitated by ultrasound guidance

Bösenberg

2018

Pediatric Anesthesia

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Continuous Erector Spinae Plane block for thoracic surgery in a pediatric patient

Cited by 53 publications

References 4 publications

Early experience with erector spinae plane blocks in children

Early experience with erector spinae plane blocks in children

Bloqueo del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado

Innovative peripheral nerve blocks facilitated by ultrasound guidance

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