Efficacy of Bilateral Erector Spinae Plane Block in Management of Acute Postoperative Surgical Pain After Pediatric Cardiac Surgeries Through a Midline Sternotomy

To Every Nerve There Is a Needle—The Threat of a Pygmalion Effect

“…10,11 More recently, less-invasive blocks, like the paravertebral, erector spinae, serratus anterior, pectoralis I/II, and intercostal nerve blocks, have been examined in children for the management of pain after thoracotomy and sternotomy. [12][13][14][15] Similar to the current report, others have demonstrated the efficacy of the TTPB in pediatric cardiac surgery patients, limiting the risk of the regional technique through selectively blocking the anterior cutaneous branch of the ventral ramus of the T2-6 intercostal nerves. 16 Done through ultrasound-guided infiltration, the TTPB appears to provide a reliable, effective, and safe approach to postoperative pain and to enhance recovery for children.…”

A Novel Use of Liposomal Bupivacaine in Erector Spinae Plane Block for Pediatric Congenital Cardiac Surgery

“…e ESPB has been studied in both adult [2,3] and pediatric [4][5][6][7] cardiac surgery and generally found to be safe, effective, and expedient. e use of liposomal bupivacaine in an ESPB may significantly prolong the effect of the pain control as compared to plain bupivacaine.…”

Surgical Closure of Atrial Septal Defects in Young Children—A Review of Anesthesia Care in Sternotomy and Thoracotomy Approaches

“…16 A study of 80 children undergoing cardiac surgery via sternotomy who received bilateral ESP blocks and showed reduction in postoperative pain scores, increased time to first rescue analgesic, and reduced opioid consumption compared with the control group with no block. 17 Patients in the TG had slightly longer CPB and total operative times. This is expected as the learning curve of a new technique.…”