Regional anaesthesia is used as a part of
multimodal analgesic strategy for post thoracotomy
pain. Several techniques have been described for
providing post operative analgesia after thoracotomy
which include central neuraxial block (epidural
analgesia), paravertebral block. These techniques are
invasive. It is challenging to perform these modalities in
paediatric patients. Ultrasound guided erector spinae
plane (ESP) blockis a newly described technique for
managing post thoracotomy pain.
A total of 3 paediatric patients belonging to ASA
grade 3 received ultrasound guided unilateral ESP block.
The primary objective of this study was to assess post
operative analgesia in the form of time required to first
dose of rescue analgesia and secondary objective was
monitoring of intra operative haemodynamic
parameters.
The duration of post operative analgesia was 480,
420 and 480 minutes respectively of the 3 cases. The
haemodynamic parameters of all 3 cases were within
normal limits
Ultrasound‑guided ESP block provided effective
pre emptive analgesia for paediatric thoracotomy.
Administration of ultrasound guided single shot
erector spinae plane block in paediatric thoracotomy
provides effective perioperative analgesia