Ultrasound-Guided Erector Spinae Plane Catheter Provides Analgesia for a Pregnant and a Pediatric Patient

Main Article Content

Artid Samerchua


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

Case reports


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
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
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
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;
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;
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
15. Thiruvenkatarajan V, Cruz Eng H, Adhikary SD. An update
on regional analgesia for rib fractures. Curr Opin Anaesthesiol
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
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
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
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.