G. Niraj, B. Konan, N. Charan, N. Vamsikrishna, M. Ananda, K. M. Likhith, J. Singh
Context: Surgery is often indicated for children presenting with intractable abdominal pain secondary to chronic calcific pancreatitis. Frey’s procedure involves an upper abdominal incision that mandates effective perioperative analgesia Although epidural analgesia is considered the gold standard, it has limitations. Erector spinae plane analgesia is a novel technique in children with a favourable risk profile.
Case Report: Eight children undergoing Frey’s surgery for chronic calcific pancreatitis were offered the technique. Additional intrathecal opioid analgesia was performed in five adolescent children to provide enhanced visceral analgesia. Outcomes included numerical rating scale pain scores, surgical outcomes, and parental satisfaction.
Conclusion: Continuous erector spinae plane analgesia with or without intrathecal opioid can provide effective perioperative analgesia in children undergoing surgery for chronic calcific pancreatitis.
Published Date: 2025-07-28; Received Date: 2025-06-05
