Erector Spinae Plane Block and Placement of Perineural Catheter for Developmental Hip Disorder Surgery in Children

Erector Spinae Plane Block in Children: a Narrative Review

“…Additionally, no evidence is reported about comparison between ESPB and psoas compartment block on hip surgery, for which both techniques have been proven to be effective. [14,15,16,17].…”

“…The ESPB has been shown to allow for a reduction in the use of intraoperative and postoperative analgesics for opioid-sparing general anesthesia [9,5,6]. Anecdotal evidence, in the form of case studies and small case series, exists for numerous applications of the ESPB as part of a multimodal opioid-sparing analgesia regimen, including thoracotomy, thoracoscopic surgery and thoracic wall surgery [2,3,4,18,19], sternotomy [20], abdominal surgery [21,22,23,24], hip joint and proximal femur surgery [15,16,17].…”

“…Despite the fact that caudal epidurals are one of the most extensively used regional blocks in children undergoing hip and lower abdominal surgeries [ 11 , 12 ], no studies have compared caudal epidurals to ESPBs in pediatric patients. Additionally, no comparisons between ESPBs and psoas compartment blocks in hip surgery have been conducted, even though the effectiveness of both techniques have been confirmed [ 13 – 16 ].…”

“…A reduction in the use of intraoperative and postoperative analgesics for opioid-sparing general anesthesia has also been demonstrated with ESPBs [ 5 , 6 , 8 ]. Anecdotal evidence in the form of case studies and small case series have been reported for numerous applications of the ESPB as part of a multimodal opioid-sparing analgesia regimen, including for thoracotomy, thoracoscopic surgery, thoracic wall surgery [ 2 , 3 , 4 , 18 – 27 ], sternotomy [ 28 ], abdominal surgery [ 29 – 37 ] spinal surgery [ 38 ], genital surgery [ 39 ] and hip joint and proximal femur surgery [ 14 – 16 , 40 ].…”