Ultrasound-Guided Erector Spinae Plane Catheter Provides Analgesia for a Pregnant and a Pediatric Patient
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Published:
Mar 5, 2020
Keywords:
analgesia, erector spinae plane block, multiple rib fractures, abdominal surgery, regional anesthesia
Main Article Content
Abstract
Analgesia for pregnant and pediatric patients is
challenging. Ultrasound-guided erector spinae plane
(ESP) block provides safe and effective analgesia for
thoracic and abdominal surgery and is a potential
alternative to thoracic epidural or paravertebral blocks.
In this report, we demonstrated continuous ESP catheters
utilized for pain control in a pregnant woman with
traumatic multiple fractured ribs and a child undergoing
upper abdominal surgery.
Article Details
Section
Case reports
References
1. Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The Erector
Spinae Plane Block: A Novel Analgesic Technique in
Thoracic Neuropathic Pain. Reg Anesth Pain Med
2016;41:621-7.
2. Krishna SN, Chauhan S, Bhoi D, Kaushal B, Hasija S,
Sangdup T, et al. Bilateral Erector Spinae Plane Block for
Acute Post-Surgical Pain in Adult Cardiac Surgical Patients:
A Randomized Controlled Trial. J Cardiothorac Vasc Anesth
2019;33:368-75.
3. Gurkan Y, Aksu C, Kus A, Yorukoglu UH, Kilic CT. Ultrasound
guided erector spinae plane block reduces postoperative
opioid consumption following breast surgery: A randomized
controlled study. J Clin Anesth 2018;50:65-8.
4. Tulgar S, Kapakli MS, Senturk O, Selvi O, Serifsoy TE, Ozer Z.
Evaluation of ultrasound-guided erector spinae plane block
for postoperative analgesia in laparoscopic cholecystectomy:
A prospective, randomized, controlled clinical trial. J Clin
Anesth 2018;49:101-6.
5. Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic
efficacy of pre-operative bilateral erector spinae plane (ESP)
blocks in patients having ventral hernia repair. Anaesthesia
2017;72:452-60.
6. Chin KJ, Malhas L, Perlas A. The Erector Spinae Plane Block
Provides Visceral Abdominal Analgesia in Bariatric Surgery:
A Report of 3 Cases. Reg Anesth Pain Med 2017;42:372-6.
7. Ohgoshi Y, Ikeda T, Kurahashi K. Continuous erector spinae
plane block provides effective perioperative analgesia for
breast reconstruction using tissue expanders: A report of
two cases. J Clin Anesth 2018;44:1-2.
8. Rao Kadam V, Currie J. Ultrasound-guided continuous
erector spinae plane block for postoperative analgesia in
video-assisted thoracotomy. Anaesth Intensive Care 2018;
46:243-5.
9. Tulgar S, Thomas DT, Deveci U. Erector spinae plane block
provides sufficient surgical anesthesia for ileostomy closure
in a high-risk patient. J Clin Anesth 2018;48:2-3.
10. Wittayapairoj A, Sakura S, Hirade R, Aoyama Y, Saito Y. The
analgesic effects and sensory blockade between erector
spinae plane block and thoracic paravertebral block after
breast surgery. Thai J Anesthesiol 2019;45:156-63.
11. Jain V, Chari R, Maslovitz S, Farine D, Maternal Fetal
Medicine C, Bujold E, et al. Guidelines for the Management
of a Pregnant Trauma Patient. J Obstet Gynaecol Can 2015;
37:553-74.
12. Ho AM, Karmakar MK, Critchley LA. Acute pain management
of patients with multiple fractured ribs: a focus on regional
techniques. Curr Opin Crit Care 2011;17:323-7.
13. Peek J, Smeeing DPJ, Hietbrink F, Houwert RM, Marsman
M, de Jong MB. Comparison of analgesic interventions for
traumatic rib fractures: a systematic review and meta-analysis.
Eur J Trauma Emerg Surg 2019;45:597-622.
14. Tran DQ, Van Zundert TC, Aliste J, Engsusophon P, Finlayson
RJ. Primary Failure of Thoracic Epidural Analgesia in Training
Centers: The Invisible Elephant? Reg Anesth Pain Med
2016;41:309-13.
15. Thiruvenkatarajan V, Cruz Eng H, Adhikary SD. An update
on regional analgesia for rib fractures. Curr Opin Anaesthesiol
2018;31:601-7.
16. Walker BJ, Long JB, Sathyamoorthy M, Birstler J, Wolf C,
Bosenberg AT, et al. Complications in Pediatric Regional
Anesthesia: An Analysis of More than 100,000 Blocks from
the Pediatric Regional Anesthesia Network. Anesthesiology
2018;129:721-32.
17. Page EA, Taylor KL. Paravertebral block in paediatric
abdominal surgery-a systematic review and meta-analysis
of randomized trials. Br J Anaesth 2017;118:159-66.
18. Desgranges FP, De Queiroz M, Chassard D. Continuous
oblique subcostal transversus abdominis plane block: an
alternative for pain management after upper abdominal
surgery in children. Paediatr Anaesth 2011;21:982-3.
19. Cornish PB. Erector Spinae Plane Block: The “Happily
Accidental” Paravertebral Block. Reg Anesth Pain Med
2018;43:644-5.
20. Ivanusic J, Konishi Y, Barrington MJ. A Cadaveric Study
Investigating the Mechanism of Action of Erector Spinae
Blockade. Reg Anesth Pain Med 2018;43:567-71.
21. Hamilton DL, Manickam B. Erector spinae plane block for
pain relief in rib fractures. Br J Anaesth 2017;118:474-5.
22. Nandhakumar A, Nair A, Bharath VK, Kalingarayar S,
Ramaswamy BP, Dhatchinamoorthi D. Erector spinae plane
block may aid weaning from mechanical ventilation in
patients with multiple rib fractures: Case report of two cases.
Indian J Anaesth 2018;62:139-41.
23. De la Cuadra-Fontaine JC, Concha M, Vuletin F, Arancibia
H. Continuous Erector Spinae Plane block for thoracic surgery
in a pediatric patient. Paediatr Anaesth 2018;28:74-5.
24. Moore R, Kaplan I, Jiao Y, Oster A. The use of continuous
Erector Spinae Plane blockade for analgesia following major
abdominal surgery in a one-day old neonate. J Clin Anesth
2018;49:17-8.
25. Munshey F, Rodriguez S, Diaz E, Tsui B. Continuous erector
spinae plane block for an open pyeloplasty in an infant. J Clin
Anesth 2018;47:47-9.
26. Tulgar S, Selvi O, Senturk O, Serifsoy TE, Thomas DT.
Ultrasound-guided erector spinae plane block: indications,
complications, and effects on acute and chronic pain based
on a single-center experience. Cureus 2019;11:e3815.
Spinae Plane Block: A Novel Analgesic Technique in
Thoracic Neuropathic Pain. Reg Anesth Pain Med
2016;41:621-7.
2. Krishna SN, Chauhan S, Bhoi D, Kaushal B, Hasija S,
Sangdup T, et al. Bilateral Erector Spinae Plane Block for
Acute Post-Surgical Pain in Adult Cardiac Surgical Patients:
A Randomized Controlled Trial. J Cardiothorac Vasc Anesth
2019;33:368-75.
3. Gurkan Y, Aksu C, Kus A, Yorukoglu UH, Kilic CT. Ultrasound
guided erector spinae plane block reduces postoperative
opioid consumption following breast surgery: A randomized
controlled study. J Clin Anesth 2018;50:65-8.
4. Tulgar S, Kapakli MS, Senturk O, Selvi O, Serifsoy TE, Ozer Z.
Evaluation of ultrasound-guided erector spinae plane block
for postoperative analgesia in laparoscopic cholecystectomy:
A prospective, randomized, controlled clinical trial. J Clin
Anesth 2018;49:101-6.
5. Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic
efficacy of pre-operative bilateral erector spinae plane (ESP)
blocks in patients having ventral hernia repair. Anaesthesia
2017;72:452-60.
6. Chin KJ, Malhas L, Perlas A. The Erector Spinae Plane Block
Provides Visceral Abdominal Analgesia in Bariatric Surgery:
A Report of 3 Cases. Reg Anesth Pain Med 2017;42:372-6.
7. Ohgoshi Y, Ikeda T, Kurahashi K. Continuous erector spinae
plane block provides effective perioperative analgesia for
breast reconstruction using tissue expanders: A report of
two cases. J Clin Anesth 2018;44:1-2.
8. Rao Kadam V, Currie J. Ultrasound-guided continuous
erector spinae plane block for postoperative analgesia in
video-assisted thoracotomy. Anaesth Intensive Care 2018;
46:243-5.
9. Tulgar S, Thomas DT, Deveci U. Erector spinae plane block
provides sufficient surgical anesthesia for ileostomy closure
in a high-risk patient. J Clin Anesth 2018;48:2-3.
10. Wittayapairoj A, Sakura S, Hirade R, Aoyama Y, Saito Y. The
analgesic effects and sensory blockade between erector
spinae plane block and thoracic paravertebral block after
breast surgery. Thai J Anesthesiol 2019;45:156-63.
11. Jain V, Chari R, Maslovitz S, Farine D, Maternal Fetal
Medicine C, Bujold E, et al. Guidelines for the Management
of a Pregnant Trauma Patient. J Obstet Gynaecol Can 2015;
37:553-74.
12. Ho AM, Karmakar MK, Critchley LA. Acute pain management
of patients with multiple fractured ribs: a focus on regional
techniques. Curr Opin Crit Care 2011;17:323-7.
13. Peek J, Smeeing DPJ, Hietbrink F, Houwert RM, Marsman
M, de Jong MB. Comparison of analgesic interventions for
traumatic rib fractures: a systematic review and meta-analysis.
Eur J Trauma Emerg Surg 2019;45:597-622.
14. Tran DQ, Van Zundert TC, Aliste J, Engsusophon P, Finlayson
RJ. Primary Failure of Thoracic Epidural Analgesia in Training
Centers: The Invisible Elephant? Reg Anesth Pain Med
2016;41:309-13.
15. Thiruvenkatarajan V, Cruz Eng H, Adhikary SD. An update
on regional analgesia for rib fractures. Curr Opin Anaesthesiol
2018;31:601-7.
16. Walker BJ, Long JB, Sathyamoorthy M, Birstler J, Wolf C,
Bosenberg AT, et al. Complications in Pediatric Regional
Anesthesia: An Analysis of More than 100,000 Blocks from
the Pediatric Regional Anesthesia Network. Anesthesiology
2018;129:721-32.
17. Page EA, Taylor KL. Paravertebral block in paediatric
abdominal surgery-a systematic review and meta-analysis
of randomized trials. Br J Anaesth 2017;118:159-66.
18. Desgranges FP, De Queiroz M, Chassard D. Continuous
oblique subcostal transversus abdominis plane block: an
alternative for pain management after upper abdominal
surgery in children. Paediatr Anaesth 2011;21:982-3.
19. Cornish PB. Erector Spinae Plane Block: The “Happily
Accidental” Paravertebral Block. Reg Anesth Pain Med
2018;43:644-5.
20. Ivanusic J, Konishi Y, Barrington MJ. A Cadaveric Study
Investigating the Mechanism of Action of Erector Spinae
Blockade. Reg Anesth Pain Med 2018;43:567-71.
21. Hamilton DL, Manickam B. Erector spinae plane block for
pain relief in rib fractures. Br J Anaesth 2017;118:474-5.
22. Nandhakumar A, Nair A, Bharath VK, Kalingarayar S,
Ramaswamy BP, Dhatchinamoorthi D. Erector spinae plane
block may aid weaning from mechanical ventilation in
patients with multiple rib fractures: Case report of two cases.
Indian J Anaesth 2018;62:139-41.
23. De la Cuadra-Fontaine JC, Concha M, Vuletin F, Arancibia
H. Continuous Erector Spinae Plane block for thoracic surgery
in a pediatric patient. Paediatr Anaesth 2018;28:74-5.
24. Moore R, Kaplan I, Jiao Y, Oster A. The use of continuous
Erector Spinae Plane blockade for analgesia following major
abdominal surgery in a one-day old neonate. J Clin Anesth
2018;49:17-8.
25. Munshey F, Rodriguez S, Diaz E, Tsui B. Continuous erector
spinae plane block for an open pyeloplasty in an infant. J Clin
Anesth 2018;47:47-9.
26. Tulgar S, Selvi O, Senturk O, Serifsoy TE, Thomas DT.
Ultrasound-guided erector spinae plane block: indications,
complications, and effects on acute and chronic pain based
on a single-center experience. Cureus 2019;11:e3815.