Key result
Lumbar ESP block achieves effective opioid-free postoperative analgesia in a pediatric femur fracture case.
Why the study?
Postoperative pain management is essential in pediatric femur fracture surgery, and while erector spinae plane block is usually performed thoracically in pediatric patients, it can also be performed at the lumbar region.
Does ultrasound-guided lumbar ESP block provide effective postoperative analgesia in a pediatric patient after femur fixation surgery?
Case Report (n=1)
No
Does ultrasound-guided lumbar ESP block provide effective postoperative analgesia in a pediatric patient after femur fixation surgery?
Ultrasound-guided lumbar ESP block may be an effective method for postoperative analgesia in pediatric patients undergoing femur fixation surgery.
May support opioid-sparing analgesia after pediatric femur surgery; leaves open confirmation in prospective trials.
The erector spinae plane (ESP) block is a recently defined regional anesthesia technique which is considered as an effective method in postoperative multimodal analgesia. ESP block is usually performed at the thoracic region in pediatric patients, but it is also possible to perform ESP block at the lumbar region. Femur fracture is one of the most common procedures especially in pediatric orthopedic surgery where postoperative pain management is essential. We aim to present a case of effective postoperative analgesia provided by ultrasound-guided lumbar ESP block in a 6-year-old patient after femur fixation surgery.
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Balaban et al. (2019) conducted a case report in Femur fracture (n=1). Ultrasound-guided lumbar erector spinae plane (ESP) block was evaluated on Postoperative pain intensity (Wong-Baker Face Scale). A single-injection ultrasound-guided lumbar erector spinae plane block provided effective postoperative analgesia with no opioid requirement in a 6-year-old male undergoing femur fracture surgery.
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