Erector spinae plane blocks for pediatric cardiothoracic surgeries

Pediatric thoracotomies are a source of severe postoperative pain that can result in sequelae such as splinting, atelectasis, and diaphragmatic compromise contributing to prolonged intubation and morbidity [1]. A 3.5-year-old 15.6 kg male with Fragile X syndrome and repaired Tetralogy of Fallot unde...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2019-11, Vol.57, p.53-54
Main Authors: Hagen, John, Devlin, Christopher, Barnett, Natalie, Padover, Alyssa, Kars, Michelle, Bebic, Zvonimir
Format: Article
Language:English
Subjects:
Cardiac Surgical Procedures - methods
Child
Child, Preschool
Conflicts of interest
Female
Humans
Infant
Narcotics
Nerve Block - methods
Ostomy
Paraspinal Muscles
Patients
Pediatrics
Surgery
Thoracotomy - methods
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Summary:Pediatric thoracotomies are a source of severe postoperative pain that can result in sequelae such as splinting, atelectasis, and diaphragmatic compromise contributing to prolonged intubation and morbidity [1]. A 3.5-year-old 15.6 kg male with Fragile X syndrome and repaired Tetralogy of Fallot underwent sternotomy and evacuation of hematoma following pulmonary valve replacement. Cadaver studies conflict with respect to whether the dorsal and ventral rami are covered by the spread of injectate [2,3] though clinically the block has been reported as covering both resulting in thoracic analgesia for both somatic and visceral pain [4].
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2019.03.010