•  
  •  
 

Corresponding Author

Rania E Elbadrawy

Subject Area

Anaesthesia and Surgical Intensive Care

Article Type

Original Study

Abstract

Background Pain following open cardiac surgery in pediatric patient is crucial for the anesthesiologist Objective to compare a single-shot US-guided bilateral thoracic retrolaminar block (TRLB) and erector spinae plane block (ESPB) as regarding 24 hours postoperative opioid analgesic requirements as primary outcome, while time to first rescue analgesic, the post-operative pain score and rate of block-related complications were secondary outcomes Methods Each study group included 50 patients. TRLB group received 0.4 ml/kg bupivacaine (BPV) 0.25% injected under US guidance bilaterally as the needle touched the lamina of the T4 vertebra; while ESPB group received 0.4 ml/kg BPV 0.25% injected under US guidance bilaterally as the needle touched the transverse process of T4 vertebra Results The cumulative 24h postoperative fentanyl consumption and intra-operative fentanyl requirement was comparable in both groups while time to the first analgesic request (h) was significantly longer in ESPB group (6.9 ± 0.9) than in TRLB group (6.2 ± 1.0) (p=0.020) Conclusions In children scheduled for open heart operation through median sternotomy, US-guided bilateral TRLB is non-inferior to the ESPB in achieving post-operative analgesic effects including 24-hour post-operative opioid consumption and pain scores.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Download

Share

COinS