Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2020.04.027
Brazilian Journal of Anesthesiology
Case Report

Erector spinae plane block in pediatric orthopedic surgery: two case reports

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

Filipe Valerio de Lima, J ´ ulia Gonc ´ ¸alves Zandomenico, Matheus Nilton Bernardi do Prado, Darlan Favreto

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Abstract

The erector spinae plane block is a safe and effective regional anesthesia technique, which has earned new indications perioperatively since its description. We introduce two pediatric anesthesia cases in which we performed the erector spinae plane block during intermediate/major orthopedic surgeries. The first patient is a 2 year-old girl submitted to surgical treatment of developmental dysplasia of the hip. The second patient is a 14 year-old boy submitted to surgical treatment of bilateral clubfoot. This last patient is potentially the first published case in which the erector spinae plane block was performed for ankle and foot surgery. Both cases experienced excellent analgesia, avoiding opiate requirement completely.

Keywords

Case report;  Regional anesthesia;  Anesthesia and analgesia;  ESP block

Resumo

O bloqueio do plano eretor da espinha guiado por ultrassonografia é uma técnica segura e eficaz de anestesia regional, que apresenta novas indicações no perioperatório. Apresentamos dois casos de bloqueio do plano eretor da espinha realizados para analgesia de cirurgia ortopédica pediátrica de médio/grande porte. O primeiro: menina de 2 anos submetida a tratamento cirúrgico de displasia do desenvolvimento do quadril. O segundo: menino de 14 anos submetido a correção de pé valgo bilateral. Este último, no melhor do nosso conhecimento, é o primeiro caso de bloqueio do plano eretor da espinha em cirurgia de tornozelo/pé descrito na literatura. Os casos tiveram analgesia pós-operatória adequada, sem necessidade de opioides.

Palavras-chave

Relato de caso;  Anestesia regional;  Anestesia e analgesia;  Bloqueio ESP

References

1. Forero M, Adhikary SD, Lopez H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41:621-7.

2. Tulgar S, Selvi O, Senturk O, et al. Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries. J Clin Anesth. 2018;47;5-6.

3. Darling CE, Pun SY, Caruso TJ, et al. Successful directional thoracic erector spinae plane block after failed lumbar plexus block in hip joint and proximal femur surgery. J Clin Anesth. 2018;49;1-2.

4. Elkoundi A, Bentalha A, Kettani SEE, et al. Erector spinae plane block for pediatric hip surgery – a case report. Korean J Anesthesiol. 2019;72:68-71.

5. Balaban O, Koçulu R, Aydin T. Ultrasound-guided lumbar erector spinae plane block for postoperative analgesia in femur fracture: a pediatric case report. Cureus. 2019;11:e5148.

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