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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Continuous erector spinae plane block for analgesia in pediatric thoracic surger...
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Vol. 65. Issue 5.
Pages 287-290 (May 2018)
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Vol. 65. Issue 5.
Pages 287-290 (May 2018)
Case report
DOI: 10.1016/j.redare.2018.04.006
Continuous erector spinae plane block for analgesia in pediatric thoracic surgery: A case report
Bloqueo continuo en el plano del músculo erector del espinal para analgesia en cirugía torácica pediátrica: informe de un caso
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C. Gaio-Limaa,
Corresponding author
claratgl@gmail.com

Corresponding author.
, C.C. Costab, J.B. Moreirac, T.S. Lemosc, H.L. Trindaded
a Servicio de Anestesiología, Hospital do Divino Espírito Santo de Ponta Delgada, EPE, São Miguel, Portugal
b Servicio de Anestesiología, Centro Hospitalar São João, EPE, Porto, Portugal
c Servicio de Anestesiología, Critical Care & Emergency Medicine, Centro Hospitalar do Porto, EPE, Porto, Portugal
d Servicio de Anestesiología, Centro Hospitalar de Lisboa Central/Hospital Dona Estefânia, Lisboa, Portugal
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Abstract

Erector spinae plane block has been recently described and it appears as a very promising regional analgesia technique. We report the first continuous erector spinae plane block performed in a pediatric patient for thoracic surgery.

A 15-month-old boy, diagnosed with a paracardiac teratoma was scheduled for a tumor resection with a thoracotomy approach. After general anesthesia induction, a continuous erector spinae plane block at T5 level was performed with ropivacaine 0.2%. After surgery, a continuous thoracic interfascial infusion of ropivacaine 0.1% along with multimodal rescue analgesia was initiated.

The patient tolerated the procedure well with no complications. It appears that this is a good alternative to thoracic epidural and paravertebral block, given the simple reproducibility and potential greater safety of this technique.

Keywords:
Continuous erector spinae plane block
Regional anesthesia
Pediatric anesthesia
Resumen

El bloqueo en el plano del músculo erector del espinal ha sido recientemente descrito, y parece ser una técnica de analgesia regional muy prometedora. Reportamos el primer bloqueo continuo en el plano del músculo erector del espinal realizado en un paciente pediátrico sometido a cirugía torácica.

Se trata de un niño de 15 meses con un teratoma paracardiaco programado para resección tumoral por toracotomía. Después de la inducción de anestesia general se practicó un bloqueo continuo en el plano del músculo erector del espinal a nivel de T5 con ropivacaína 0,2%. Tras la cirugía se inició una perfusión torácica interfascia de ropivacaína 0,1% y analgesia multimodal.

El paciente toleró bien el procedimiento sin complicaciones. Parece que esta es una buena alternativa a la epidural torácica y el bloqueo paravertebral, dada la simple reproducibilidad y la mayor seguridad potencial de esta técnica.

Palabras clave:
Bloqueo continuo en el plano del músculo erector del espinal
Anestesia regional
Anestesia pediátrica

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