What is the clinical evidence from this study?

Study design: Case Report. Population: congenital or neurogenic scoliosis (n=6). Intervention: Bilateral bi-level erector spinae plane blocks. Primary outcome: postoperative pain levels and opioid consumption.

August 7, 2023MedicinaOpen Access

Bilateral Bi-Level Erector Spinae Plane Blocks as a Part of Opioid-Sparing Multimodal Analgesia in Scoliosis Surgery: A Case Series of Six Pediatric Patients

View Full Paper

Ask AI

Bookmark

Key result

Bilateral bi-level erector spinae plane blocks resulted in minimal postoperative pain and low opioid requirements in all 6 pediatric patients undergoing scoliosis surgery.

Why the study?

Postoperative pain after scoliosis surgery is severe and local anesthetic options are rarely used due to side effects and inconsistent efficacy.

Does bilateral bi-level erector spinae plane block reduce postoperative pain and opioid consumption in pediatric patients undergoing scoliosis surgery?

Design

Case series

Authors

MDMałgorzata DomagalskaPoznan University of Medical Sciences BÇBahadır ÇiftçiIstanbul Medipol University JKJerzy KolasińskiNárodný ústav detských chorôb

Discussion

Member takes

Implication

Bilateral bi-level ESP blocks may spare opioids after scoliosis surgery; hypothesis-generating case series requiring RCTs before practice change.

Study Design

Type

Case Report (n=6)

Structured PICO

Does bilateral bi-level erector spinae plane block reduce postoperative pain and opioid consumption in pediatric patients undergoing scoliosis surgery?

Population

6 pediatric patients with congenital or neurogenic scoliosis undergoing posterior spinal fusion.

Intervention

Bilateral single-injection erector spinae plane block (ESPB) at one or two levels before incision, as part of multimodal analgesia (preoperative IV dexamethasone, TIVA with remifentanil and propofol)

Outcome

Postoperative pain levels and opioid consumptionpatient reported

Bilateral erector spinae plane blocks may be an effective opioid-sparing analgesic technique for pediatric patients undergoing scoliosis surgery.

Cite This Study

Domagalska et al. (2023) conducted a case report in congenital or neurogenic scoliosis (n=6). Bilateral bi-level erector spinae plane blocks was evaluated on postoperative pain levels and opioid consumption. Bilateral bi-level erector spinae plane blocks resulted in minimal postoperative pain and low opioid requirements in all 6 pediatric patients undergoing scoliosis surgery.

synapsesocial.com/papers/6a950fc3aa92d0f3572c9195 https://doi.org/10.3390/medicina59081429

View Full Paper

Ask AI

Bookmark

Implication

Bilateral bi-level ESP blocks may spare opioids after scoliosis surgery; hypothesis-generating case series requiring RCTs before practice change.

Bilateral Bi-Level Erector Spinae Plane Blocks as a Part of Opioid-Sparing Multimodal Analgesia in Scoliosis Surgery: A Case Series of Six Pediatric Patients

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Bilateral Bi-Level Erector Spinae Plane Blocks as a Part of Opioid-Sparing Multimodal Analgesia in Scoliosis Surgery: A Case Series of Six Pediatric Patients

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider