Erector Spinae Plane Block and Placement of Perineural Catheter for Developmental Hip Disorder Surgery in Children

Bosinci, Emil; Spasić, Svetolik; Mitrović, M; Stević, Marija; Simić, Irena; Simić, Dušica

doi:10.20471/acc.2021.60.02.19

Cited by 6 publications

(6 citation statements)

References 13 publications

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“…ESPBs and catheters have been increasingly utilized in the pediatric population for intra-and postoperative pain control [1]. Studies have demonstrated the efficaciousness of the ESPB in many surgeries including thoracic, abdominal, orthopedic, and urological [2][3][4]. However, the utility of the ESPB in providing adequate analgesia in the pediatric population remains in question compared to more invasive regional methods, such as the neuraxial and paravertebral regional blocks.…”

Section: Discussionmentioning

confidence: 99%

Epidural-Like Effect of a Continuous Right-Sided Erector Spinae Plane Blockade for Complicated Pediatric Abdominal Surgery

Doshi,

Bansal,

Alalade

2023

J Med Cases

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The erector spinae plane block (ESPB) is increasingly gaining popularity in pediatric anesthesiology as it provides an alternative to neuraxial anesthesia in those with relative and absolute contraindications. Recent studies show craniocaudal spread in cadavers and multi-level spread impacting neural structures in live subjects. We present a case report of a pediatric patient with a history of abdominal surgeries, contraindication to neuraxial anesthesia, and thoracic vertebrae fractures. Bilateral ESPB catheters were initially placed but the left catheter was accidentally dislodged. Each ESPB catheter was initially programmed to flow at rate of 2 cc/h of ropivacaine 0.1% for a max combined rate of 4 cc/h. Once the left ESPB catheter was dislodged, the right ESPB catheter was programmed to flow at 4 cc/h which surprisingly continued to provide adequate bilateral analgesia for the patient without the need for additional narcotics. In cases where a unilateral ESPB catheter is the only option due to catheter displacement or contamination, administering a higher volume of local anesthetic may still yield satisfactory pain relief for managing postoperative discomfort following abdominal surgery.

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Section: Discussionmentioning

confidence: 99%

Epidural-Like Effect of a Continuous Right-Sided Erector Spinae Plane Blockade for Complicated Pediatric Abdominal Surgery

Doshi,

Bansal,

Alalade

2023

J Med Cases

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“…Additionally, no evidence is reported about comparison between ESPB and psoas compartment block on hip surgery, for which both techniques have been proven to be effective. [14,15,16,17].…”

Section: Clinical Indicationsmentioning

confidence: 99%

“…The ESPB has been shown to allow for a reduction in the use of intraoperative and postoperative analgesics for opioid-sparing general anesthesia [9,5,6]. Anecdotal evidence, in the form of case studies and small case series, exists for numerous applications of the ESPB as part of a multimodal opioid-sparing analgesia regimen, including thoracotomy, thoracoscopic surgery and thoracic wall surgery [2,3,4,18,19], sternotomy [20], abdominal surgery [21,22,23,24], hip joint and proximal femur surgery [15,16,17].…”

Section: Clinical Indicationsmentioning

confidence: 99%

“…Despite the fact that caudal epidurals are one of the most extensively used regional blocks in children undergoing hip and lower abdominal surgeries [ 11 , 12 ], no studies have compared caudal epidurals to ESPBs in pediatric patients. Additionally, no comparisons between ESPBs and psoas compartment blocks in hip surgery have been conducted, even though the effectiveness of both techniques have been confirmed [ 13 – 16 ].…”

Section: Clinical Indicationsmentioning

confidence: 99%

“…A reduction in the use of intraoperative and postoperative analgesics for opioid-sparing general anesthesia has also been demonstrated with ESPBs [ 5 , 6 , 8 ]. Anecdotal evidence in the form of case studies and small case series have been reported for numerous applications of the ESPB as part of a multimodal opioid-sparing analgesia regimen, including for thoracotomy, thoracoscopic surgery, thoracic wall surgery [ 2 , 3 , 4 , 18 – 27 ], sternotomy [ 28 ], abdominal surgery [ 29 – 37 ] spinal surgery [ 38 ], genital surgery [ 39 ] and hip joint and proximal femur surgery [ 14 – 16 , 40 ].…”

Section: Clinical Indicationsmentioning

confidence: 99%

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Erector Spinae Plane Block in Children: a Narrative Review

Lucente¹,

Ragonesi²,

Sanguigni³

et al. 2022

Korean J Anesthesiol

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Postoperative analgesic effect of lumbar erector spinae plane block for developmental hip dysplasia surgery: a randomized controlled double-blind study

Cirak,

Ahiskalioglu,

Ahiskalioglu

et al. 2024

Sci Rep

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Open surgery for developmental dysplasia of the hip (DDH) may cause severe pain due to tenotomies and pelvic–femoral osteotomies. This study aims to evaluate the analgesic effect of ultrasound-guided Lumbar Erector Spina Plane (L-ESP) Block in pediatric patients undergoing DDH surgery. Sixty children scheduled for DDH surgery were randomly assigned into two groups. Group I ( n = 30) received L-ESP with 0.5 mL/kg of 0.25% bupivacaine before surgery. In contrast, Group II ( n = 30), as the control group, received the same volume of saline injection. Identical postoperative analgesia protocol was adjusted for both groups. Parental satisfaction, pain levels, ibuprofen, and opioid consumption were recorded. Pain levels were evaluated with the FLACC (Face, Legs, Activity, Crying, Consolability) scale. FLACC scores at the first 24th hours were lower in the L-ESP group than the control group ( p < 0.001). Rescue opioid utilization was higher in the control group (15/26) than in the L-ESP group (2/29) ( p < 0.001). The consumption of ibuprofen was higher in the control group than in the L-ESP group in the ward (24/26 vs. 3/29, p < 0.001, respectively). Parental satisfaction was superior in the L-ESP group ( p = 0.024). To provide postoperative analgesia for DDH surgery, ultrasound-guided L-ESP may be an effective and alternative regional anesthetic technique.

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Erector Spinae Plane Block and Placement of Perineural Catheter for Developmental Hip Disorder Surgery in Children

Cited by 6 publications

References 13 publications

Epidural-Like Effect of a Continuous Right-Sided Erector Spinae Plane Blockade for Complicated Pediatric Abdominal Surgery

Epidural-Like Effect of a Continuous Right-Sided Erector Spinae Plane Blockade for Complicated Pediatric Abdominal Surgery

Erector Spinae Plane Block in Children: a Narrative Review

Postoperative analgesic effect of lumbar erector spinae plane block for developmental hip dysplasia surgery: a randomized controlled double-blind study

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