Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing splenectomy; a prospective randomized controlled trial.

Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing splenectomy; a prospective randomized controlled trial. Paediatr Anaesth. 2019 Oct 20;: Authors: Mostafa SF, Abdelghany MS, Abdelraheem TM, Abu Elyazed MM Abstract BACKGROUND: Many analgesic modalities have been investigated in pediatrics. We studied the analgesic efficacy of bilateral ultrasound-guided erector spinae plane block in pediatric patients undergoing open midline splenectomy. METHODS: 60 patients aged 3- 10 years were randomly assigned into two groups: Control group received general anesthesia with bilateral sham erector spinae plane block using 0.3 ml/kg normal saline on each side. Erector spinae plane block group received bilateral ultrasound-guided erector spinae plane block using 0.3 ml/kg bupivacaine 0.25% (on each side) with a maximum dose of 2 mg/kg. Children's Hospital Eastern Ontario Pain Scale (CHEOPS), total consumption of intraoperative fentanyl (1µg/kg IV in case of inadequate analgesia), time to first rescue analgesic administration and postoperative paracetamol consumption were recorded over the first 24 hours postoperatively. RESULTS: The median (IQR) postoperative CHEOPS score at 1h was lower in erector spinae plane block group (5.0 (4.75 -5.25)) than the control group (7.0 (6.0- 10.0)) (P
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research

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