Bilateral Erector Spinae Blocks Decrease Perioperative Opioid Use After Pediatric Cardiac Surgery

Multimodal continuous ambulatory erector spinae catheter pain protocol for early recovery following Nuss procedure: a retrospective cohort study

“…Our results are aligned with previous reports of decreased opioid use and enhanced recovery with use of bilateral ESP after other pediatric surgeries 3. LOS (≈2.3 days) favorably compares to previous reported median (IQR) of LOS for Nuss using epidural (4 days (3–5)), paravertebral (3 days (2–4)), wound catheter (3 days (2–4)) and no regional (3 days (3–4)) techniques 4.…”

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.…”

The Year in Review: Anesthesia for Congenital Heart Disease 2021

“…Pain scores were also slightly higher in the ESPB cohort at half of the time intervals during the first 48 hours. 47 While 2 prior studies have demonstrated efficacy of ESPB in cohorts of 40 and 50 children, larger studies are needed to confirm the efficacy of ESPBs in pediatric cardiac surgery. 48,49 Sahajanandan et al reported an analysis of 100 children under the age of 8 years receiving a paravertebral block (PVB) vs 100 historical matched controls undergoing a range of cardiac surgeries.…”