1University Children's Hospital, Belgrade, Serbia; 2Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 3Ljubodrag Buba Mihailović Institute for Pathological Physiology, Belgrade, Serbia; 4Klinikum Westfalen, Dortmund, Germany.
Acta Clin Croat. 2021 Jun;60(2):309-313. doi: 10.20471/acc.2021.60.02.19.
The ultrasound-guided erector spinae plane (ESP) block is a novel interfascial plane block technique providing analgesic effects in different localizations of the body, in accordance with the level of administration. Although ESP block is usually performed in the thoracic region in pediatric patients, it is possible to achieve ESP block in the lumbar region as well. Postoperative pain management is essential in patients undergoing operative hip treatment, one of the most common procedures in pediatric orthopedic surgery. We report on a case of effective intraoperative analgesia achieved by ultrasound-guided lumbar ESP block and another case of effective intra- and postoperative analgesia accomplished with perineural catheter placement in addition to lumbar ESP block, both performed in children surgically treated for developmental hip disorders.
超声引导竖脊肌平面(ESP)阻滞是一种新的筋膜间平面阻滞技术,根据给药部位的不同,可在身体的不同部位产生镇痛效果。尽管 ESP 阻滞通常在小儿患者的胸部进行,但在腰部也可以进行 ESP 阻滞。对于接受手术髋关节治疗的患者,术后疼痛管理至关重要,手术髋关节治疗是小儿矫形外科中最常见的手术之一。我们报告了两例病例,一例通过超声引导下腰椎 ESP 阻滞实现了术中镇痛,另一例通过腰椎 ESP 阻滞联合神经周围导管置入术实现了术中及术后镇痛,这两例均为患有发育性髋关节疾病的儿童手术治疗。