Bilateral erector spinae plane block using a programmed intermittent bolus technique for pain management after Nuss procedure

[...]the permissible local anesthetic dose is lower than that utilized in adult patients. [...]we couldn't advance the catheter sufficiently beyond the tip of the needle into the thoracic paravertebral space. [...]we decided to perform bilateral ESPB as an alternative to thoracic paravertebral...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2019-11, Vol.57, p.51-52
Main Authors: Yoshizaki, Mai, Murata, Hiroaki, Ogami-Takamura, Keiko, Hara, Tetsuya
Format: Article
Language:English
Subjects:
Anesthesia
Anesthetics, Local - administration & dosage
Catheters
Child
Erector spinae plane block
Funnel Chest - surgery
Humans
Male
Nerve Block - methods
Nuss procedure
Pain
Pain, Postoperative - prevention & control
Patients
Pectus excavatum
Programmed intermittent bolus
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Description
Summary:[...]the permissible local anesthetic dose is lower than that utilized in adult patients. [...]we couldn't advance the catheter sufficiently beyond the tip of the needle into the thoracic paravertebral space. [...]we decided to perform bilateral ESPB as an alternative to thoracic paravertebral block. PIB of levobupivacaine was continued until postoperative day (POD) 7 without signs or symptoms of local anesthetic systemic toxicity. [...]leakage of local anesthetic from the site of catheter insertion or catheter dislodgement was not observed.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2019.03.014