Ultrasound-guided erector spinae plane block versus thoracic epidural analgesia: Postoperative pain management after Nuss repair for pectus excavatum

Intercostal nerve cryoanalgesia in the treatment of pain in patients operated on by the modified Nuss method with the BackOnFeet application—a new strategy to improve outcomes

“…The appearance is the main reason for the decision to undergo surgery, as the quality of life before surgery is assessed by patients as low. The modified Nuss questionnaire dedicated to patients with chest deformities is a useful and commonly used tool to assess the quality of life of patients and their families ( 15 , 31 , 32 ). In our study, we assessed patients' quality of life before and after surgery using this questionnaire.…”

Pain management for the Nuss procedure: comparison between erector spinae plane block, thoracic epidural, and control

“…Complications are extremely uncommon,16 and because of the greater distance from the neuraxis, damage to the spinal cord is highly unlikely. The first publication evaluating ESP block in Nuss repair was published by Bliss et al , where they found good feasibility and decreased LOS compared with thoracic epidural analgesia 17. We conducted a PubMed search and did not find any reports of permanent neurological sequalae due to ESP blocks.…”

“…The first publication evaluating ESP block in Nuss repair was published by Bliss et al , where they found good feasibility and decreased LOS compared with thoracic epidural analgesia. 17 We conducted a PubMed search and did not find any reports of permanent neurological sequalae due to ESP blocks. Pneumothorax 18 and local anesthetic systemic toxicity 19 are significant complications, which (although rare) need to be considered.…”

Bilateral Ultrasound-Guided Erector Spinae Plane Block for Pectus Excavatum Surgery: A Retrospective Propensity-Score Study

“…21 A recent study showed that ESPB is a safe and effective alternative to TEA in postoperative pain management after the Nuss procedure, resulting in decreased length of hospital stay. 24 Erector spinae plane block can be feasible also in patients with altered back anatomy, prior spine procedures, or deformity that represent common conditions in patients with PE and in whom TEA placement cannot be done safely. 22,25 Continuous bilateral ESP catheters were placed effectively in a pediatric patient who previously had posterior spinal fusion and submitted to the Ravitch procedure.…”