Nardiello M A, Herlitz M
Departamento de Cirugía, Hospital Regional Guillermo Grant Benavente, Universidad de Concepción, Concepción, Chile.
Departamento de Cirugía, Hospital Regional Guillermo Grant Benavente, Universidad de Concepción, Concepción, Chile.
Rev Esp Anestesiol Reanim (Engl Ed). 2018 Nov;65(9):530-533. doi: 10.1016/j.redar.2018.04.006. Epub 2018 Jun 14.
Numerous publications have emerged on the application of erector spinae plane block in adult population. There are few reports of the use of this block in pediatric patients. The objective is to report 2 cases of adolescents, one diagnosed with pectus excavatum and the other one with pectus carinatum undergoing reconstructive surgery in which a bilateral single-shot erector spinae plane block was performed as an analgesic technique. The block was performed before surgery under general anesthesia in lateral decubitus position, guided by ultrasound using 20ml of 0.25% bupivacaine per side. After the surgery they were extubated and transferred to the Intensive Care Unit. During their postoperative period they had visual analogic scale values less than 4 and no long term narcotics were used during the intraoperative and postoperative period. Bilateral single shot erector spinae plane block was effective as an analgesic technique for the intraoperative and postoperative period in pectus excavatum and pectus carinatum surgery in adolescents.
关于竖脊肌平面阻滞在成人中的应用已有大量文献发表。而关于该阻滞在儿科患者中的应用报道较少。目的是报告2例青少年患者，1例诊断为漏斗胸，另1例诊断为鸡胸，他们在接受重建手术时采用双侧单次竖脊肌平面阻滞作为镇痛技术。该阻滞在全身麻醉下于侧卧位手术前进行，在超声引导下每侧使用20ml 0.25%布比卡因。手术后，他们拔除气管插管并转入重症监护病房。在术后期间，他们的视觉模拟评分值小于4，术中及术后未使用长效麻醉剂。双侧单次竖脊肌平面阻滞作为青少年漏斗胸和鸡胸手术术中及术后的镇痛技术是有效的。
