Erector spinae catheter for post-thoracotomy pain control in a premature neonate

被引:10
作者
Schalkwyk, Anna Swenson [1 ]
Flaherty, James [1 ]
Hess, Donavon [2 ]
Horvath, Balazs [1 ]
机构
[1] Univ Minnesota, Anesthesiol, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Dept Surg, Box 242 UMHC, Minneapolis, MN 55455 USA
关键词
pain; drug therapy related to surgery; neonatal and paediatric intensive care; paediatric surgery; PLANE BLOCK; REGIONAL ANESTHESIA; ANALGESIA; SOCIETY;
D O I
10.1136/bcr-2020-234480
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ensuring respiratory stability with early tracheal extubation and adequate pain control is challenging in premature neonates after thoracotomy. Continuous erector spinae plane (ESP) block, a relatively new truncal nerve block, has the potential to provide analgesia for thoracic surgeries while reducing opioid use. However, there have been only a few reports utilising this technique in infants, and none in preterm neonates. We present the perioperative pain management of a preterm neonate requiring thoracotomy. Epidural analgesia was deemed contraindicated due to coexisting coagulopathy; therefore, an ESP catheter was placed. The patient was extubated at the end of the surgery and had excellent pain control with rectal acetaminophen, chloroprocaine infusion via the ESP catheter and with minimal opioid requirement. Continuous ESP block may be safe and effective for postoperative pain management in coagulopathic premature neonates. Chloroprocaine is an effective local anaesthetic in the erector spinae compartment, which has not been previously reported.
引用
收藏
页数:3
相关论文
共 14 条
  • [1] Erector spinae plane catheter for neonatal thoracotomy: a potentially safer alternative to a thoracic epidural
    Adler, Adam C.
    Yim, Michael M.
    Chandrakantan, Arvind
    [J]. CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2019, 66 (05): : 607 - 608
  • [2] Erector spinae plane block for pain management of esophageal atresia in a preterm neonate
    Altiparmak, Basak
    Toker, Melike Korkmaz
    Uysal, Ali Ihsan
    Ozcan, Metin
    Demirbilek, Semra Gumus
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2019, 56 : 115 - 116
  • [3] Erector spinae plane block for management of major abdominal surgery in a low birth weight preterm neonate
    Basaran, B.
    Akkoyun, I.
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2020, 61
  • [4] Carvalho EVG, 2020, REV BRAS ANESTESIOL, V70, P171, DOI [10.1016/j.bjane.2020.02.011, 10.1016/j.bjan.2020.01.001]
  • [5] Paravertebral by proxy - time to redefine the paravertebral block
    Costache, I.
    Pawa, A.
    Abdallah, F. W.
    [J]. ANAESTHESIA, 2018, 73 (10) : 1185 - 1188
  • [6] Ultrasound-guided preoperative single-dose erector spinae plane block provides comparable analgesia to thoracic paravertebral block following thoracotomy: a single center randomized controlled double-blind study
    Fang, Bin
    Wang, Zhaomin
    Huang, Xiaojing
    [J]. ANNALS OF TRANSLATIONAL MEDICINE, 2019, 7 (08)
  • [7] Postoperative noninvasive ventilation and complications in esophageal atresia-tracheoesophageal fistula
    Ferrand, Amaryllis
    Roy, Shreyas K.
    Faure, Christophe
    Moussa, Ahmed
    Aspirot, Ann
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2019, 54 (05) : 945 - 948
  • [8] Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology
    Gogarten, Wiebke
    Vandermeulen, Erik
    Van Aken, Hugo
    Kozek, Sibylle
    Llau, Juan V.
    Samama, Charles M.
    [J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (12) : 999 - 1015
  • [9] A cadaveric study of the erector spinae plane block in a neonatal sample
    Govender, Sabashnee
    Mohr, Dwayne
    Bosenberg, Adrian
    Van Schoor, Albert Neels
    [J]. REGIONAL ANESTHESIA AND PAIN MEDICINE, 2020, 45 (05) : 386 - 388
  • [10] Erector spinae plane block for inguinal hernia repair in preterm infants
    Hernandez, Maria A.
    Palazzi, Lucio
    Lapalma, Julio
    Cravero, Joseph
    [J]. PEDIATRIC ANESTHESIA, 2018, 28 (03) : 298 - 299