Ultrasound-Guided Erector Spinae Plane Block: A Comparative Study to Assess its Analgesic Efficacy in Pediatric Patients Undergoing Aortic Coarctation Repair

Islam Taher Abd El-Aal; Farouk Kamal Eldin Abd El-Aziz; Samar Mohammed Abd-El Twab; Amr Fouad

doi:10.22037/jcma.v8i3.39827

Journal of Cellular & Molecular Anesthesia

Journal Information Editors & Boards Indexing and Listing Sources Journal Metrics Publication Ethics and Malpractice Statement Reviewer and AE Registration Form New Publisher Announcement Support Contact Us Open Peer Review (OPR)

APC

Authors Guide Submit Manuscript

https://doi.org/10.22037/jcma.v8i3.39827

Ultrasound-Guided Erector Spinae Plane Block: A Comparative Study to Assess its Analgesic Efficacy in Pediatric Patients Undergoing Aortic Coarctation Repair

Author(s):

Islam Taher Abd El-Aal¹,

Farouk Kamal Eldin Abd El-Aziz

^2,*,

Samar Mohammed Abd-El Twab¹,

Amr Fouad²

1Department of Anesthesiology, ICU and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt

2Department of Anesthesiology, ICU and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Journal of Cellular & Molecular Anesthesia:Vol. 8, issue 3; e149225

Published online:Jan 17, 2023

Article type:Original Articles

How to Cite:Abd El-Aal I T, Abd El-Aziz F K E, Abd-El Twab S M, Fouad A. Ultrasound-Guided Erector Spinae Plane Block: A Comparative Study to Assess its Analgesic Efficacy in Pediatric Patients Undergoing Aortic Coarctation Repair.J Cell Mol Anesth.2023;8(3):e149225.https://doi.org/10.22037/jcma.v8i3.39827.

Abstract

Background: Effective postoperative analgesia is an important aspect of both anesthetic practice and postoperative outcomes. Thoracotomy for the repair of coarctation of the aorta is a painful surgical procedure; inadequate postoperative analgesia may result in postoperative respiratory complications with the possible prolonged need for oxygen therapy. In addition, paradoxical hypertension is a well-recognized complication of repair. We hypothesize that erector spinae plane block (ESPB) by providing adequate analgesia and blocking sympathetic stimulation may reduce opioid consumption, accelerate weaning of oxygen therapy, and reduce the incidence of early postoperative paradoxical hypertension. Material and methods: Open-labeled randomized controlled trial carried out on 40 patients divided into two groups. Group (B) received ESPB before the skin incision and group (C), the control group received no block. Results:?Patients who received ESPB had significantly less intraoperative fentanyl consumption than the control group (P-value<0.001), and significantly less postoperative fentanyl consumption by 50% than the control group in the first 12 hours 2.025 ?0.273 ?g/kg and 4.05 ?0.527 ?g/kg respectively (P-value<0.001). while there was no statistically significant difference between both groups regarding the incidence of postoperative vasodilator infusion for paradoxical hypertension (P-value=0.054), the pediatric anesthesia emergence delirium (PAED) (P-value=0.06) nor the time to wean oxygen supply (P-value=0.49). ?Conclusion: Erector spinae plane block effectively reduces postoperative pain in pediatric patients undergoing repair of coarctation of the aorta. However, it did not significantly accelerate weaning from oxygen therapy nor reduce the incidence of vasodilator use for postprocedural hypertension.

Keywords

erector spinae plane block; thoracotomy; aortic coarctation; FLACC pain score; paradoxical hypertension; weaning.

References

1.
References are in the PDF file of the article.

Import into EndNote Import into BibTex

Crossmark

Checking

Share on

Comments

Number of Comments:0

Cited by

Metrics

Get Permission (article level)

Purchasing Reprints

Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here ( https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.

Search Relations

Author(s):

Islam Taher Abd El-Aal:[PubMed][Scholar]
Farouk Kamal Eldin Abd El-Aziz:[PubMed][Scholar]
Samar Mohammed Abd-El Twab:[PubMed][Scholar]
Amr Fouad:[PubMed][Scholar]