metricas
covid
Buscar en
Revista Española de Anestesiología y Reanimación (English Edition)
Toda la web
Inicio Revista Española de Anestesiología y Reanimación (English Edition) Erector spinae plane block for thoracoscopy in a paediatric patient
Journal Information
Vol. 69. Issue 10.
Pages 693-696 (December 2022)
Share
Share
Download PDF
More article options
Visits
1
Vol. 69. Issue 10.
Pages 693-696 (December 2022)
Case report
Erector spinae plane block for thoracoscopy in a paediatric patient
Bloqueo del plano del músculo erector de la espina para toracoscopia en el paciente pediátrico
Visits
1
I. Aguado La Iglesia
Corresponding author
, P.P. Granacher, M.F. Manzano Lorefice, J.F. López Arias, F. Yang Xia, L.E. Muñoz Alameda
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Abstract

We present the case of a 9 year old patient with a clinical history of epilepsy and various hospitalizations due to aspirative broncopneumonia among others, who was admitted to our hospital because of septic shock secondary to pneumonia of the lower left lobule associated with a parapneumonic pleural effusion and a complicated clinical course. During her stay, the patient undergoes surgical debridement using video assisted thoracoscopic surgery (VATS) under general anaesthesia and the hydropneumothorax is drained. For the procedure an ecoguided erector spinae plane block is performed and combined with general anaesthesia. On one hand this block permitted reduction of perioperative opioid administration and improved the patient's respiration, on the other hand it permitted avoiding the use of drugs, which can lower seizure threshold and increase the risk of convulsions. This case illustrates the importance of locoregional anaesthesia, a technique on the rise in the field of paediatric anaesthesia.

Keywords:
Block
Erector spinae
Thoracoscopy
Anaesthesia
Regional
Paediatrics
Resumen

Presentamos el caso de una paciente de 9 años, con antecedentes de epilepsia y múltiples ingresos por bronconeumonía aspirativa entre otros, que ingresa en nuestro centro por shock séptico secundario a neumonía en lóbulo inferior izquierdo y derrame pleural paraneumónico, con mala evolución. Durante su ingreso, se interviene bajo anestesia combinada para desbridamiento quirúrgico por videotoracoscopia y colocación de drenaje en hidroneuomotórax izquierdo complicado. Para la intervención, se realiza un bloqueo del plano del músculo erector de la espina ecoguiado, junto a una anestesia general. Este bloqueo, permitió por un lado disminuir la dosis de opioides postoperatorios, mejorando la ventilación de la paciente; y por otro lado, evitó el uso de diversos fármacos que podían disminuir el umbral epileptógeno y aumentar el riesgo de sufrir una convulsión. Este caso, demuestra la importancia de la anestesia locorregional en el paciente pediátrico, un arma anestésica en auge.

Palabras clave:
Bloqueo
Erector de la espina
Toracoscopia
Anesthesia
Regional
Pediatría

Article

These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Española de Anestesiología y Reanimación (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos