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Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing

Shaimaa F Mostafa1, Mohamed S Abdelghany1, Taysser M Abdelraheem1

  • 1Department of anesthesia and surgical intensive care, Faculty of Medicine, Tanta University, Tanta, Egypt.

Paediatric Anaesthesia
|October 21, 2019
PubMed

Insights

Bilateral ultrasound-guided erector spinae plane block significantly reduced pain scores and analgesic consumption in pediatric patients undergoing splenectomy. This effective analgesic modality offers improved postoperative recovery for children.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Pain Management

Background:

  • Investigated analgesic efficacy of bilateral ultrasound-guided erector spinae plane block in pediatric patients.
  • Focus on open midline splenectomy procedures in children aged 3-10 years.

Purpose of the Study:

  • To evaluate the analgesic effectiveness of bilateral ultrasound-guided erector spinae plane block.
  • To compare pain scores and analgesic requirements between the erector spinae plane block group and a control group.

Main Methods:

  • Sixty pediatric patients were randomized into two groups: control (general anesthesia with sham block) and erector spinae plane block (general anesthesia with ultrasound-guided block).
  • Evaluated Children's Hospital Eastern Ontario Pain Scale (CHEOPS), intraoperative fentanyl use, time to first rescue analgesic, and postoperative paracetamol consumption over 24 hours.

Main Results:

  • The erector spinae plane block group showed significantly lower postoperative CHEOPS scores at 1 and 8 hours compared to the control group (P < .001).
  • Intraoperative fentanyl consumption was significantly reduced in the erector spinae plane block group (0.0 μg) versus the control group (40.0 μg) (P < .001).
  • Postoperative paracetamol consumption was substantially lower in the erector spinae plane block group (8.5 mg/kg) than in the control group (37.5 mg/kg) (P < .001), with a longer time to first rescue analgesic.

Conclusions:

  • Ultrasound-guided erector spinae plane block is an effective analgesic technique for pediatric patients undergoing open midline splenectomy.
  • This method significantly reduces postoperative pain and the need for intraoperative and postoperative opioid and non-opioid analgesics.
Abstract

Keywords:
local anestheticspainpediatricregional anesthesiasplenectomyultrasonography

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