Analgesic efficacy of ultrasound guided erector spinae plane block in pediatric patients undergoing aortic coarctectomy

Abstract

Objectives: This study aims to compare the efficacy of analgesia and any side effects of U/S guided Erector Spinae Plane block versus fentanyl usage in pediatric patients undergoing aortic coarctectomy.

Design: This randomized, controlled, double blinded study was carried out in Cairo University Hospital after approval of ethics and Research Committee of Anesthesia Department, Faculty of Medicine, Cairo University.

Settings: The research was carried out in pediatric cardiothoracic theatre at Cairo University's Abu El Reesh Pediatric Hospital

Participants: The patients were included in the study according to these criteria: age 3-12 months, American society of Anesthesia (ASA) II-III, scheduled to undergo aortic coarctectomy operation with left Lateral thoracotomy incision.

Interventions: Patients were randomly assigned to one of 2 groups: group S (n=14): the study group which received ESPB, Group C (n=14):  the control group which receive no intervention.

Measurements and Results: ESBP reduced intraoperative consumption of fentanyl in children undergoing aortic coarctectomy compared to standard care. Furthermore, children in the ESBP group showed better hemodynamic profile with lower heart rate and blood pressure.

Conclusion: In aortic coarctectomy procedures, ultrasound-guided ESPB provided superior perioperative analgesia and better hemodynamic profile compared to standard care.