Continuous erector spinae plane block for analgesia in pediatric thoracic surgery: A case report

被引：16

作者：

Gaio-Lima, C. ^{[1
]}

Costa, C. C. ^{[2
]}

Moreira, J. B. ^{[3
]}

Lemos, T. S. ^{[3
]}

Trindade, H. L. ^{[4
]}

机构：

[1] Hosp Div Espirito Santo Ponta Delgada, Serv Anestesiol, EPE, Sao Miguel, Portugal

[2] Ctr Hosp Sao Joao, Serv Anestesiol, EPE, Porto, Portugal

[3] Ctr Hosp Porto, Serv Anestesiol Crit Care & Emergency Med, EPE, Porto, Portugal

[4] Hosp Dona Estefania, Ctr Hosp Lisboa Cent, Serv Anestesiol, Lisbon, Portugal

来源：

REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2018年 / 65卷 / 05期

关键词：

Continuous erector spinae plane block; Regional anesthesia; Pediatric anesthesia;

D O I：

10.1016/j.redar.2017.11.010

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Erector spinae plane block has been recently described and it appears as a very promising regional analgesia technique. We report the first continuous erector spinae plane block performed in a pediatric patient for thoracic surgery. A 15-month-old boy, diagnosed with a paracardiac teratoma was scheduled for a tumor resection with a thoracotomy approach. After general anesthesia induction, a continuous erector spinae plane block at T5 level was performed with ropivacaine 0.2%. After surgery, a continuous thoracic interfascial infusion of ropivacaine 0.1% along with multimodal rescue analgesia was initiated. The patient tolerated the procedure well with no complications. It appears that this is a good alternative to thoracic epidural and paravertebral block, given the simple reproducibility and potential greater safety of this technique. (C) 2017 Sociedad Espanola de Anestesiologia, ReanimaciOn y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.

引用

页码：287 / 290

页数：4

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