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EROCTOR SPINAE PLANE BLOCK FOR PEDIATRIC LIVER LOBECTOMY: A CASE REPORT
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Abstract
Erector spinae plane block is a new regional anesthetic technique, with similar analgesic effects as paravertebral space anesthesia, technically easy to perform, has fewer complications, and is not absolutely contraindicated in patients with coagulopathy. We report a male patient a 30-month-old, body weighing 12kg, diagnosed with hepatoblastoma. The patient underwent liver lobectomy 6th and 7th. The patient received endotracheal anesthesia, and multimodal analgesia including continuous infusion of fentanyl, paracetamol, and right-side erector spinae plane block. The patient is lying on the left side, placing the ultrasound probe at the level of the 7th thoracic vertebra on the right side, performing an anesthetic needle puncture under ultrasound, determining the plane of the erector spinae plane, checking the needle aspiration without blood and air, conducting inject 6 ml of Levobupivacaine 0.25% solution into the erector spinae plane. After surgery, the patient was able to safely and conveniently extubate the endotracheal tube and was transferred to the postoperative recovery room with complete consciousness and good pain relief (FLACC score: 0). Erector spinae plane block with multimodal analgesia has good analgesia, and pediatric patients can safely and conveniently extubate after liver lobectomy.
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Keywords
Erector spinae plane block, liver lobectomy, pediatric
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