Erector Spinae Plane Block for Surgery of the Posterior Thoracic Wall in a Pediatric Patient

Abstract

The ESP block is an effective option for surgery on the posterior thoracic wall. The opioid- and anesthetic-sparing effects exhibited in this case facilitated rapid postoperative recovery and early discharge.

Early experience with erector spinae plane blocks in children

“…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.…”

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

“…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].…”

“…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.…”

Abstracts and Highlight Papers of the 37th Annual European Society of Regional Anesthesia & Pain Therapy (ESRA) Congress 2018

“…Recent papers revived the use of neurolytic retrobulbar block with alcohol or chlorpromazine in painful blind eyes of selected neovascular glaucoma and trauma patients. [29][30][31][32][33][34] Blockade of particular branches with local anesthetics and steroid or proved to be efficient for isolated branch neuralgia of trigeminal nerve such as supraorbital, supratrochlear, infratrochlear, lacrimal or infraorbital neuralgia. 35 Postoperative pain has been managed poorly for decades.…”

“…Paresthesia can still occur with USG and currently the ultrasound technology used for PNB is unable to differentiate accurately the various layers of the nerve structure 33,34 . Ultrasonography cannot therefore inform us reliably if the needle tip is has been placed subepineurally or subperineurally until after injection of LA has occurred 34 .…”