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Continuous Erector Spinae Plane Catheter for Analgesia After Infant Thoracotomy: A Case Report

Irem Kaplan1, York Jiao, Jacob Daniel AuBuchon

  • 1From the Department of Anesthesiology, St Louis Children's Hospital/Barnes Jewish Hospital, Washington University in St Louis, St Louis, Missouri.

A&A Practice
|May 26, 2018
PubMed

Insights

The erector spinae plane block provides effective pain relief for infants undergoing surgery. This minimally invasive technique offers excellent analgesia without opioids, simplifying post-operative care.

Area of Science:

  • Regional anesthesia
  • Pediatric surgery
  • Pain management

Background:

  • The erector spinae plane (ESP) block is an evolving regional anesthesia technique.
  • Its application in pediatric patients for thoracolumbar analgesia is increasingly reported.
  • Congenital pulmonary airway malformations often necessitate surgical intervention in infants.

Observation:

  • A continuous erector spinae plane catheter was placed at the T5-T6 level in a 7-month-old infant.
  • The infant underwent a thoracotomy for a left upper lobectomy due to congenital pulmonary airway malformation.
  • The procedure was performed in an area without critical adjacent structures.

Findings:

  • The erector spinae plane block provided excellent analgesia.
  • No opioid rescue analgesia was required post-operatively.
  • The technique demonstrated a low degree of technical difficulty.

Implications:

  • The erector spinae plane block is a viable option for pediatric thoracolumbar analgesia.
  • This technique can be utilized for various painful pediatric interventions.
  • It offers a safe and effective opioid-sparing pain management strategy in infants.

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