Application progress of erector spinae plane block in pediatric patients_West China Medical Journal

Authors：

 JIAO Bo ,  LIU Jin

Anesthesia & Operation Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIU Jin, Email: scujinliu@foxmail.com

Keywords：

Erector spinae plane block; pediatric; novel analgesic method; postoperative analgesia

DOI：

10.7507/1002-0179.202108080

Video：

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As a novel analgesic method, erector spinae plane block is increasingly widely used during perioperative period. This technique mainly injects local anesthetic drugs into the connective tissue between the deep fascia of the erector muscle and the transverse process of the vertebral body to achieve a blocking effect. Its role in postoperative analgesia in adult patients has been verified. Currently, case reports have shown that it also has a certain analgesic effect in pediatric patients, which can reduce postoperative pain scores and opioid consumption. Therefore, this article explores the application of erector spinae plane block in pediatric patients from various aspects, summarizes existing research results, and aims to provide more evidence for clinicians to reasonably use this block technique in the pediatric population.

Citation： JIAO Bo, LIU Jin. Application progress of erector spinae plane block in pediatric patients. West China Medical Journal, 2023, 38(4): 631-634. doi: 10.7507/1002-0179.202108080 Copy

1.	Forero M, Adhikary SD, Lopez H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med, 2016, 41(5): 621-627.
2.	Aksu C, Gürkan Y. Erector spinae plane block: a new indication with a new approach and a recommendation to reduce the risk of pneumothorax. J Clin Anesth, 2019, 54: 130-131.
3.	Chin KJ. Thoracic wall blocks: from paravertebral to retrolaminar to serratus to erector spinae and back again - a review of evidence. Best Pract Res Clin Anaesthesiol, 2019, 33(1): 67-77.
4.	Hewson DW, Bedforth NM, Hardman JG. Spinal cord injury arising in anaesthesia practice. Anaesthesia, 2018, 73(Suppl 1): 43-50.
5.	Zhang Y, Liu T, Zhou Y, et al. Analgesic efficacy and safety of erector spinae plane block in breast cancer surgery: a systematic review and meta-analysis. BMC Anesthesiol, 2021, 21(1): 59.
6.	許增華, 張建敏, 鄭超, 等. 超聲引導雙側豎脊肌平面阻滯用于全麻 Nuss 術患兒的效果. 中華麻醉學雜志, 2020, 40(2): 186-189.
7.	Ciftci B, Ekinci M, Celik EC, et al. Efficacy of an ultrasound-guided erector spinae plane block for postoperative analgesia management after video-assisted thoracic surgery: a prospective randomized study. J Cardiothorac Vasc Anesth, 2020, 34(2): 444-449.
8.	劉蘋, 吳茜, 姚尚龍, 等. 超聲引導下雙側豎脊肌平面阻滯在兒童漏斗胸 Nuss 手術的應用. 國際麻醉學與復蘇雜志, 2021, 42(4): 390-393.
9.	Balaban O, Ko?ulu R, Ayd?n T. Ultrasound-guided lumbar erector spinae plane block for postoperative analgesia in femur fracture: a pediatric case report. Cureus, 2019, 11(7): e5148.
10.	Tsui BCH, Fonseca A, Munshey F, et al. The erector spinae plane (ESP) block: a pooled review of 242 cases. J Clin Anesth, 2019, 53: 29-34.
11.	?ksüz G, Arslan M, Bilal B, et al. Ultrasound guided sacral erector spinae block for postoperative analgesia in pediatric anoplasty surgeries. J Clin Anesth, 2020, 60: 88.
12.	Aksu C, Gürkan Y. Sacral erector spinae plane block with longitudinal midline approach: could it be the new era for pediatric postoperative analgesia?. J Clin Anesth, 2020, 59: 38-39.
13.	De Cassai A, Andreatta G, Bonvicini D, et al. Injectate spread in ESP block: a review of anatomical investigations. J Clin Anesth, 2020, 61: 109669.
14.	Elsharkawy H, Ince I, Hamadnalla H, et al. Cervical erector spinae plane block: a cadaver study. Reg Anesth Pain Med, 2020, 45(7): 552-556.
15.	Otero PE, Fuensalida SE, Russo PC, et al. Mechanism of action of the erector spinae plane block: distribution of dye in a porcine model. Reg Anesth Pain Med, 2020, 45(3): 198-203.
16.	Ivanusic J, Konishi Y, Barrington MJ. A cadaveric study investigating the mechanism of action of erector spinae blockade. Reg Anesth Pain Med, 2018, 43(6): 567-571.
17.	Adhikary SD, Bernard S, Lopez H, et al. Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study. Reg Anesth Pain Med, 2018, 43(7): 756-762.
18.	?ift?i B, Ekinci M. Ultrasound-guided single shot preemptive erector spinae plane block for thoracic surgery in a pediatric patient. Agri, 2020, 32(1): 58-59.
19.	Moore R, Kaplan I, Jiao Y, et al. The use of continuous erector spinae plane blockade for analgesia following major abdominal surgery in a one-day old neonate. J Clin Anesth, 2018, 49: 17-18.
20.	Yoshizaki M, Murata H, Ogami-Takamura K, et al. Bilateral erector spinae plane block using a programmed intermittent bolus technique for pain management after Nuss procedure. J Clin Anesth, 2019, 57: 51-52.
21.	Aksu C, Gurkan Y. Defining the indications and levels of erector spinae plane block in pediatric patients: a retrospective study of our current experience. Cureus, 2019, 11(8): e5348.
22.	Gupta A, Gupta N, Choudhury A, et al. Erector spinae plane block using clonidine as an adjuvant for excision of chest wall tumor in a pediatric patient. Ann Card Anaesth, 2020, 23(2): 221-223.
23.	張珺, 李杞澤, 王爽, 等. 羅哌卡因聯合地塞米松豎脊肌平面阻滯對腰椎手術患者圍手術期鎮痛效果的影響. 國際麻醉學與復蘇雜志, 2021, 42(2): 140-144.
24.	Zieliński J, Morawska-Kochman M, Zatoński T. Pain assessment and management in children in the postoperative period: a review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Adv Clin Exp Med, 2020, 29(3): 365-374.
25.	陳韋東, 譚煒浩, 鐘錦濤, 等. 胸椎旁神經阻滯技術的研究進展. 中國臨床解剖學雜志, 2021, 39(1): 111-114.
26.	Holland EL, Bosenberg AT. Early experience with erector spinae plane blocks in children. Paediatr Anaesth, 2020, 30(2): 96-107.
27.	Hagen J, Devlin C, Barnett N, et al. Erector spinae plane blocks for pediatric cardiothoracic surgeries. J Clin Anesth, 2019, 57: 53-54.
28.	何常佑, 劉煉波, 任靜華. 骶管阻滯復合七氟烷麻醉在小兒疝氣手術中的應用. 四川醫學, 2010, 31(5): 642-643.
29.	Aksu C, Gürkan Y. Opioid sparing effect of erector spinae plane block for pediatric bilateral inguinal hernia surgeries. J Clin Anesth, 2018, 50: 62-63.
30.	Mostafa SF, Abdelghany MS, Abdelraheem TM, et al. Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing splenectomy: a prospective randomized controlled trial. Paediatr Anaesth, 2019, 29(12): 1201-1207.
31.	中華醫學會麻醉學分會區域麻醉學組. 外周神經阻滯并發癥防治專家共識. 臨床麻醉學雜志, 2020, 36(9): 913-919.
32.	Darling CE, Lin C, Caruso TJ, et al. Lumbar erector spinae plane catheter via a thoracic approach for iliac crest autograft in a pediatric patient. J Clin Anesth, 2019, 54: 164-165.

1. Forero M, Adhikary SD, Lopez H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med, 2016, 41(5): 621-627.
2. Aksu C, Gürkan Y. Erector spinae plane block: a new indication with a new approach and a recommendation to reduce the risk of pneumothorax. J Clin Anesth, 2019, 54: 130-131.
3. Chin KJ. Thoracic wall blocks: from paravertebral to retrolaminar to serratus to erector spinae and back again - a review of evidence. Best Pract Res Clin Anaesthesiol, 2019, 33(1): 67-77.
4. Hewson DW, Bedforth NM, Hardman JG. Spinal cord injury arising in anaesthesia practice. Anaesthesia, 2018, 73(Suppl 1): 43-50.
5. Zhang Y, Liu T, Zhou Y, et al. Analgesic efficacy and safety of erector spinae plane block in breast cancer surgery: a systematic review and meta-analysis. BMC Anesthesiol, 2021, 21(1): 59.
6. 許增華, 張建敏, 鄭超, 等. 超聲引導雙側豎脊肌平面阻滯用于全麻 Nuss 術患兒的效果. 中華麻醉學雜志, 2020, 40(2): 186-189.
7. Ciftci B, Ekinci M, Celik EC, et al. Efficacy of an ultrasound-guided erector spinae plane block for postoperative analgesia management after video-assisted thoracic surgery: a prospective randomized study. J Cardiothorac Vasc Anesth, 2020, 34(2): 444-449.
8. 劉蘋, 吳茜, 姚尚龍, 等. 超聲引導下雙側豎脊肌平面阻滯在兒童漏斗胸 Nuss 手術的應用. 國際麻醉學與復蘇雜志, 2021, 42(4): 390-393.
9. Balaban O, Ko?ulu R, Ayd?n T. Ultrasound-guided lumbar erector spinae plane block for postoperative analgesia in femur fracture: a pediatric case report. Cureus, 2019, 11(7): e5148.
10. Tsui BCH, Fonseca A, Munshey F, et al. The erector spinae plane (ESP) block: a pooled review of 242 cases. J Clin Anesth, 2019, 53: 29-34.
11. ?ksüz G, Arslan M, Bilal B, et al. Ultrasound guided sacral erector spinae block for postoperative analgesia in pediatric anoplasty surgeries. J Clin Anesth, 2020, 60: 88.
12. Aksu C, Gürkan Y. Sacral erector spinae plane block with longitudinal midline approach: could it be the new era for pediatric postoperative analgesia?. J Clin Anesth, 2020, 59: 38-39.
13. De Cassai A, Andreatta G, Bonvicini D, et al. Injectate spread in ESP block: a review of anatomical investigations. J Clin Anesth, 2020, 61: 109669.
14. Elsharkawy H, Ince I, Hamadnalla H, et al. Cervical erector spinae plane block: a cadaver study. Reg Anesth Pain Med, 2020, 45(7): 552-556.
15. Otero PE, Fuensalida SE, Russo PC, et al. Mechanism of action of the erector spinae plane block: distribution of dye in a porcine model. Reg Anesth Pain Med, 2020, 45(3): 198-203.
16. Ivanusic J, Konishi Y, Barrington MJ. A cadaveric study investigating the mechanism of action of erector spinae blockade. Reg Anesth Pain Med, 2018, 43(6): 567-571.
17. Adhikary SD, Bernard S, Lopez H, et al. Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study. Reg Anesth Pain Med, 2018, 43(7): 756-762.
18. ?ift?i B, Ekinci M. Ultrasound-guided single shot preemptive erector spinae plane block for thoracic surgery in a pediatric patient. Agri, 2020, 32(1): 58-59.
19. Moore R, Kaplan I, Jiao Y, et al. The use of continuous erector spinae plane blockade for analgesia following major abdominal surgery in a one-day old neonate. J Clin Anesth, 2018, 49: 17-18.
20. Yoshizaki M, Murata H, Ogami-Takamura K, et al. Bilateral erector spinae plane block using a programmed intermittent bolus technique for pain management after Nuss procedure. J Clin Anesth, 2019, 57: 51-52.
21. Aksu C, Gurkan Y. Defining the indications and levels of erector spinae plane block in pediatric patients: a retrospective study of our current experience. Cureus, 2019, 11(8): e5348.
22. Gupta A, Gupta N, Choudhury A, et al. Erector spinae plane block using clonidine as an adjuvant for excision of chest wall tumor in a pediatric patient. Ann Card Anaesth, 2020, 23(2): 221-223.
23. 張珺, 李杞澤, 王爽, 等. 羅哌卡因聯合地塞米松豎脊肌平面阻滯對腰椎手術患者圍手術期鎮痛效果的影響. 國際麻醉學與復蘇雜志, 2021, 42(2): 140-144.
24. Zieliński J, Morawska-Kochman M, Zatoński T. Pain assessment and management in children in the postoperative period: a review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Adv Clin Exp Med, 2020, 29(3): 365-374.
25. 陳韋東, 譚煒浩, 鐘錦濤, 等. 胸椎旁神經阻滯技術的研究進展. 中國臨床解剖學雜志, 2021, 39(1): 111-114.
26. Holland EL, Bosenberg AT. Early experience with erector spinae plane blocks in children. Paediatr Anaesth, 2020, 30(2): 96-107.
27. Hagen J, Devlin C, Barnett N, et al. Erector spinae plane blocks for pediatric cardiothoracic surgeries. J Clin Anesth, 2019, 57: 53-54.
28. 何常佑, 劉煉波, 任靜華. 骶管阻滯復合七氟烷麻醉在小兒疝氣手術中的應用. 四川醫學, 2010, 31(5): 642-643.
29. Aksu C, Gürkan Y. Opioid sparing effect of erector spinae plane block for pediatric bilateral inguinal hernia surgeries. J Clin Anesth, 2018, 50: 62-63.
30. Mostafa SF, Abdelghany MS, Abdelraheem TM, et al. Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing splenectomy: a prospective randomized controlled trial. Paediatr Anaesth, 2019, 29(12): 1201-1207.
31. 中華醫學會麻醉學分會區域麻醉學組. 外周神經阻滯并發癥防治專家共識. 臨床麻醉學雜志, 2020, 36(9): 913-919.
32. Darling CE, Lin C, Caruso TJ, et al. Lumbar erector spinae plane catheter via a thoracic approach for iliac crest autograft in a pediatric patient. J Clin Anesth, 2019, 54: 164-165.

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