Erector spinae plane block for pediatric hip surgery -a case report-

Abstract

Surgical repair of the hip can be extremely painful and is associated with considerable postoperative pain in children despite the use of systemic opioids. These patients may benefit from neuraxial analgesia in adjunction with general anesthesia. The reported advantages of this technique include decreased opiate exposure, decreased time in the post-anesthesia recovery room, decreased hospital stay, and increased satisfaction of the patient. However, the considerably high rate of adverse effects of this technique limits its use in children Of the adverse effects, hypotension, postoperative nausea and vomiting, urinary retention, excessive motor block, and pruritus are the most frequently observed. Regional anesthetic techniques would seem a better choice for improving acute pain management in these patients, with fewer adverse effects. Herein, we describe our experience with erector spinae plane (ESP) block, an effective novel technique of regional anesthesia for pediatric hip surgery.