Continuous Erector Spinae Plane Catheter for Analgesia After Infant Thoracotomy: A Case Report

Kaplan, Irem; Jiao, York; AuBuchon, Jacob; Moore, Robert P.

doi:10.1213/xaa.0000000000000799

Cited by 23 publications

(20 citation statements)

References 5 publications

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“…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.…”

Section: Resultsmentioning

confidence: 99%

Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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Background An erector spinae plane block is a relatively new regional anesthetic technique. Apart from case reports and small series, the literature regarding pediatric use is limited. Aim Our objective was to determine the efficacy of the erector spinae plane block in children by measuring the heart rate response to incision. Secondary objectives included feasibility, safety, opioid consumption, and pain scores. Furthermore, we reviewed this block in children published since 2016. Study design Case Series; Level of evidence, IV. Methods With Institutional Review Board approval, a retrospective chart review was conducted on all patients who received erector spinae plane block for surgery between October 2017 and May 2019 at a single institution. Blocks were performed under anesthesia, using ultrasound guidance prior to surgical incision. Block details and hemodynamic and analgesic data were collected. In addition, a PubMed literature review was conducted to identify all erector spinae plane block related publications in patients ≤18 years of age. Results About 164 patients, 2 days‐19.4 years, weighing 2.3‐94.7 kg, received erector spinae plane blocks. For more than 79% of single injection blocks, placement time was ≤10 minutes. Using a heart rate increase of <10% at skin incision as criterion, 70.1% of patients had a successful block. Only 20% required long‐acting opioids intraoperatively. In a subset of infants who underwent gastrostomy surgery using a dose of 0.5 mL/kg, a local anesthetic spread of at least five dermatomes (0.1 mL/kg/dermatome) was achieved. Per the literature review, 33 publications described erector spinae plane block in 128 children. No complications were reported. Conclusion Erector spinae plane blocks are relatively easy to perform in children with no complications reported to date. The efficacy of the block for a broad spectrum of surgeries, involving incisions from T1 to L4, is encouraging.

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Section: Resultsmentioning

confidence: 99%

Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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“…The use of the ESP block is limited to the thoracic region in the pediatric population, with only a few reports (Table 1). It has been reported to provide effective postoperative analgesia for thoracic surgeries [6–10], nephrectomy [11], inguinal hernia repair [12], and laparoscopic cholecystectomy operations [13] in children. To our knowledge, ESP block performed in the lumbar region has not been reported in children.…”

Section: Discussionmentioning

confidence: 99%

“…They also reported that they were able to achieve adequate anesthetic spread and analgesia with a volume of 0.2–0.3 ml/kg in other pediatric patients undergoing thoracic surgery. Kaplan et al [10] reported the successful use of a modest amount of local anesthetic with an approximately 0.3 ml/kg bolus in an infant weighing 7 kg. Future studies on the optimal local anesthetic volume and concentration when performing ESP block in children would be useful to practitioners and to further enhance the understanding of this useful block.…”

Section: Discussionmentioning

confidence: 99%

Erector spinae plane block for pediatric hip surgery -a case report-

Elkoundi¹,

Bentalha²,

Kettani³

et al. 2019

Korean J Anesthesiol

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The surgical repair of the hip is considered an extremely painful procedure. Managing pain in this surgery is challenging with several options available, each with limitations. Erector spinae plane (ESP) block is a novel technique with promising results that have been reported in different types of surgery. Herein, we describe a case of successful ESP block for pediatric hip surgery which could be in the future an alternative technique for providing effective analgesia.

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“…El bloqueo del ESP es una técnica recientemente descrita en pacientes adultos y para manejo de dolor neuropático, según mencionado por los autores (5). Actualmente el bloqueo ESP se viene realizando en la población pediátrica, con solo pocos informes (Tabla I), para manejo del dolor postoperatorio de cirugías torácicas (11)(12)(13)(14)(15)(16)(17), nefrectomía (18), reparación de hernia inguinal (19), colecistectomía laparoscópica (20), displasia de cadera (21) e hipospadias (22). Hasta donde sabemos, el bloqueo ESP para dolor neuropático en niños aún no se ha reportado.…”

Section: Discussionunclassified

Bloqueo del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado

Expósito‐Izquierdo

Tamayo

Carranza

et al. 2020

Rev. Soc. Esp. Dolor.

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Título / Title: Bloqueo del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado / Spinal erector plane block as a neuropathic pain management in post-burned pediatric patient Autores / Authors: del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado / Spinal erector plane block as a neuropathic pain management in post-burned pediatric patient. Rev. Soc. Esp. Dolor. 2020.Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor. ABSTRACTPain management is a critical piece in the general care of the burned child.Neuropathic pain is one of its frequent consequences, which may appear at the beginning or during the wound healing process, accompanied by symptoms predominantly due to stimulation of the sympathetic nervous system, its management being an important challenge.

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Continuous Erector Spinae Plane Catheter for Analgesia After Infant Thoracotomy: A Case Report

Cited by 23 publications

References 5 publications

Early experience with erector spinae plane blocks in children

Early experience with erector spinae plane blocks in children

Erector spinae plane block for pediatric hip surgery -a case report-

Bloqueo del plano del erector espinal como manejo de dolor neuropático en paciente pediátrico postquemado

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