Why the study?
Data are limited regarding the use of erector spinae plane blocks in pediatric surgeries.
Ultrasound-guided bilateral lower thoracic erector spinae plane blocks can be utilized for postoperative analgesia in pediatric patients undergoing complex abdominal surgeries, particularly when neuraxial anesthesia is contraindicated.
May offer an alternative for pediatric abdominal analgesia when neuraxial blocks are contraindicated; hypothesis-generating pending controlled trials.
The erector spinae plane (ESP) block is a relatively novel regional anesthetic technique first described in 2016. There are limited data regarding its use in pediatric surgeries although ESP blocks can likely be safely used to provide effective postoperative analgesia for major thoracic and abdominal surgeries, especially in cases where neuraxial anesthesia is contraindicated. In this report, we describe a case in which bilateral lower thoracic erector spinae plane blocks were performed in a pediatric patient with vertebral anomalies undergoing posterior sagittal anorectoplasty and reconstruction of cloacal malformation.
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Drillings et al. (2022) studied this question.
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