Department of General Surgery, Sri Madhusudan Sai Institute of Medical Sciences & Research, Chikkaballapur, Karnataka, India
Case Report
Erector Spinae Plane Block (ESPB) with or without Intra-Thecal Opioid (ESPITO) analgesia for providing perioperative analgesia in Paediatric Frey?s Surgery for chronic calcific pancreatitis: a case series
Author(s): G. Niraj*, B. Konan, N. Charan, N. Vamsikrishna, M. Ananda, K. M. Likhith and 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.. View More»
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