Continuous erector spinae plane block for analgesia in pediatric thoracic surgery: A case report

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: Anestesia pediátrica; Anestesia regional; Bloqueo continuo en el plano del músculo erector del espinal; Continuous erector spinae plane block; Pediatric anesthesia; Regional anesthesia.