Bloqueio do plano eretor da espinha em cirurgia ortopédica pediátrica: dois relatos de caso

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

doi:10.1016/j.bjan.2020.04.008

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…[ 2 ] Regional blocks such as erector spinae plane (ESP) block and pericapsular nerve group (PENG) block in adjuvant with general anaesthesia are alternative perioperative analgesic techniques that lead to lesser side effects, including motor weakness, postoperative nausea and vomiting with decreased opioid consumption. [ 3 ] ESP block is an interfascial plane that is situated between the erector spinae muscle (ESM) laterally and the tips of the thoracic transverse processes medially. [ 4 ] PENG block is the plane lying between the psoas muscle and tendon and the ilio-pubic eminence (IPE).…”

Section: Introductionmentioning

confidence: 99%

Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study

Mostafa,

Omara,

Khalil

2024

Indian Journal of Anaesthesia

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Background and Aims: Postoperative pain after hip surgeries in children could be classified as severe, requiring combined intra- and postoperative opioid analgesia with regional blocks. This study was carried out to investigate ultrasound-guided pericapsular nerve group (PENG) block versus ultrasound-guided erector spinae plane (ESP) block for pain management after paediatric hip surgery. The primary objective was to assess the time of the first request for morphine rescue analgesia. Methods: In this randomised study, 56 children scheduled for elective unilateral hip surgery were distributed randomly to ESP and PENG groups. Intraoperative haemodynamics, fentanyl consumption, postoperative pain measurement, morphine consumption, time of first rescue analgesia, adverse effects and parents’ satisfaction score were studied. The primary outcome was the time of the first request for morphine rescue analgesia. The Chi-square test, Student’s t-test and the Mann–Whitney U test were used, where applicable, to compare the groups. Results: The time to first rescue analgesia was significantly longer in Group ESP than in Group PENG (P < 0.001), with significantly higher postoperative morphine consumption in Group PENG than in Group ESP (P = 0.04). The pain scores of Group ESP were lower than those of Group PENG at 2 and 4 h postoperatively (P = 0.006 and P < 0.001, respectively). At 8 h postoperatively, the score was significantly higher in Group ESP than in Group PENG (P = 0.005). Other outcomes were comparable between both groups (P > 0.05). Conclusion: ESP and PENG could be both effective for intraoperative and postoperative analgesia in paediatric hip surgeries, but the ESP block prolonged the time of first rescue analgesia more than the PENG block.

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Section: Introductionmentioning

confidence: 99%

Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study

Mostafa,

Omara,

Khalil

2024

Indian Journal of Anaesthesia

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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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Incision congruent regional analgesia for postoperative pain management following a giant gluteal neurofibroma excision in a pediatric patient

Poonuraparampil

Jayaram

Bais

et al. 2021

Ain-Shams J Anesthesiol

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Bloqueio do plano eretor da espinha em cirurgia ortopédica pediátrica: dois relatos de caso

Cited by 3 publications

References 4 publications

Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study

Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study

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

Incision congruent regional analgesia for postoperative pain management following a giant gluteal neurofibroma excision in a pediatric patient

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