Erector spinae plane block in pediatric orthopedic surgery: two case reports

Lima, Filipe Valério de; Zandomenico, Júlia Gonçalves; Prado, Matheus Nilton Bernardi do; Favreto, Darlan

doi:10.1016/j.bjane.2020.04.027

Cited by 2 publications

(3 citation statements)

References 5 publications

(4 reference statements)

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“…16 In addition, de Lima et al described two cases presented for hip surgery under general anesthesia and ESPB with adequate control of postoperative pain and decrease in the intraoperative opioid consumption. 17 The case series of Aksu et al revealed that the use of ultrasound-guided lumbar ESPB in pediatric patients presented for inguinal hernia repair can decrease the postoperative pain score and decrease the postoperative rescue analgesic consumption. 18 Moreover, the successful use of preoperative sacral ESPB as an analgesic technique in the pediatric population after pelvic surgeries was confirmed in many case reports.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, Inc et al described a case of adequate control of postoperative pain in 4 years female patient undergoing surgery for hip dysplasia under general anesthesia and both pericapsular nerve block (for knee analgesia) and erector spinae block (for hip analgesia) 16 . In addition, de Lima et al described two cases presented for hip surgery under general anesthesia and ESPB with adequate control of postoperative pain and decrease in the intraoperative opioid consumption 17 …”

Section: Discussionmentioning

confidence: 99%

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Effect of erector spinae plane block on postoperative analgesia after pediatric hip surgery: Randomized controlled study

2022

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Background Erector spinae plane block (ESPB) in pediatric patients presenting for hip surgery may improve the postoperative analgesia. Aim The study aimed to investigate the effect of ultrasound‐guided ESPB on postoperative analgesia after a pediatric hip surgery. Methods Forty children scheduled for hip surgeries were included in this trial and randomly distributed into; Control group, patients received sham ultrasound‐guided ESPB at the level of L3 or ESPB group, patients received real ultrasound‐guided ESPB at the level of L3 with an injection of 0.4 ml/kg of plain bupivacaine 0.25%. The time for the first call of rescue analgesia, intraoperative fentanyl consumption, postoperative morphine consumption, Children's Hospital Eastern Ontario Pain Scale (CHEOPS), and Objective Behavioral Pain score (OPS) were recorded. Results As compared to the control group, the use of ESPB significantly prolonged the time for first request of rescue analgesia from 170.50 ± 44.066 to 256.50 ± 66.434 min (p < 0.0001), decreased the intraoperative fentanyl consumption from 1.025 ± 0.379 to 0.775 ± 0.343 μg/kg (p = 0.035), decreased the postoperative morphine consumption from 0.105 ± 0.036 to 0.065 ± 0.023 mg/kg (p = 0.0002). Also, it significantly decreased postoperative CHEOPS and OPS scores 2, 4, and 6 h after the surgery (p < 0.05) with an insignificant difference between the two groups at all other time intervals (p ˃ 0.05). Conclusion The use of ESPB in pediatric patients undergoing hip surgery prolonged the time for the first call of analgesia, decreased the intraoperative and postoperative opioid consumption, and decreased the postoperative pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of erector spinae plane block on postoperative analgesia after pediatric hip surgery: Randomized controlled study

2022

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“…When combined with general anesthesia, the consumption of intraoperative and postoperative analgesic medications can be reduced and quick and painless rehabilitation can be ensured [ 6 , 7 ]. The erector spinae plane block (ESPB) is a relatively novel technique that has shown promising results in a few studies [ 8 , 9 ]. In adults, the ESPB has been used for postoperative analgesia in lower extremity procedures [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided lumbar erector spinae plane block versus caudal block for postoperative analgesia in pediatric hip and proximal femur surgery: a randomized controlled study

El-Shazly¹,

Shaban²,

Gouda³

et al. 2023

Korean J Anesthesiol

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Background: Several infants endure substantial pain after hip operations, which can have a negative impact on their health by causing restlessness, depression, and sleep disruption. According to recent research, 20% of infants experience prolonged postsurgical pain 6 to 12 months following major surgery, which is linked to functional impairment and a lower quality of life.Methods: 76 children, ranging from 1 year to 7 years old, scheduled for hip or proximal femur procedures were randomly assigned to receive either unilateral ultrasound guided erector spinae plane (ESPB) with 0.5 mL/Kg of bupivacaine 0.25% or caudal epidural anesthesia (CEA) with 0.5 mL/Kg of bupivacaine 0.25%. The primary outcome was the Face, Legs, Activity, Cry, and Consolability (FLACC) score 2 hours postoperatively. The secondary outcomes were pain scores every 15 minutes for the first hour and then at 6, 12, and 24 hours postoperatively, block failure rate, time taken to perform a successful block, , and the time for first rescue analgesia. Results:The FLACC score 2 hours postoperatively wasn't superior in ESPB group compared to CEA group, in the contrary it was higher in the ESPB group compared to the CEA group at 15, and 30 minutes postoperative (p = 0.005, p = 0.004 respectively). The time to first rescue analgesia was prolonged in the CEA group (p value < 0.001), time to perform successful block was comparable between groups.Conclusions: ESPB hasn't shown a superior analgesic effect to CEA in pediatrics undergoing hip and proximal femur operations.

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Erector spinae plane block in pediatric orthopedic surgery: two case reports

Cited by 2 publications

References 5 publications

Effect of erector spinae plane block on postoperative analgesia after pediatric hip surgery: Randomized controlled study

Effect of erector spinae plane block on postoperative analgesia after pediatric hip surgery: Randomized controlled study

Ultrasound-guided lumbar erector spinae plane block versus caudal block for postoperative analgesia in pediatric hip and proximal femur surgery: a randomized controlled study

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