Erector Spinae Plane Block in Paediatric Thoracic Surgery
Author(s): ,
Regufe, R.*
Centro Hospitalar Setubal, Anaesthesiology, Setubal, Portugal
Veiga, M.
Hospital Central do Funchal, Anaesthesiology, Funchal, Portugal
Trindade, H.
Centro Hospitalar Lisboa Central, Anaesthesiology, Lisbon, Portugal
Lobo, C.
Hospital Militar Regional No1- Polo do Porto, Anaesthesiology, Porto, Portugal
Ferreira, J.L.
Centro Hospitalar Lisboa Central, Anaesthesiology, Lisbon, Portugal
ESRA Academy. Regufe R. Sep 13, 2017; 190836; 522 Topic: Paediatric Population
Disclosure(s): Nothing to disclose
Dr. Rita Regufe
Dr. Rita Regufe

Access to Premium content is currently a membership benefit.

Click here to join ESRA or renew your membership.

Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Managing pain after thoracic surgery is challenging, with several options available, each with limitations. The erector spinae plane block (ESPB) is a recent analgesic approach for thoracic pain. We report a case of ESPB for paediatric thoracic surgery.


A 1 y-o female, 10kg, ASA I, proposed for urgent video-assisted (VATS) decortication due to sequelae of pneumonia on the right. After induction and intubation, the patient was positioned in left lateral decubitus and a high frequency linear ultrasound transducer was placed longitudinal, parasagittal to T3-T5 spinous processes. After identifying the muscle layers superficial to the deepest: trapezius, rhomboid major and erector spinae, 3ml of Ropivacaine 0,2% were injected in the interfascial plane between rhomboid major and erector spinae. During the surgery paracetamol and ketorolac were administered. The patient was extubated and in the post-operative had a maximum FLACC scale of 2 in 24 hours with paracetamol each 6 hours.


The ESPB has been described in adults, with two forms of injection: between rhomboid major and erector spinae and between the latter and the transverse process, both achieving an area of analgesia ranging intercostal innervation from T2-T9. VATS is less invasive, nevertheless effective analgesia is needed in the immediate post-operative period for a better pulmonary excursion. This fascial block seemed like a reasonable choice for this surgery and proved to be effective in the hours that followed.


ESPB may be effective in managing acute post-operative pain in thoracoscopic pediatric surgery, bypassing some risks and limitations associated with deeper blocks or neuraxial analgesia.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.

Save Settings