Ultrasound-guided thoracic paravertebral block in a premature neonate with congenital oesophageal atresia with a tracheo-oesophageal fistula: a case report

Year 2022, Volume: 47 Issue: 1, 455 - 458, 31.03.2022

Faruk Çiçekci

https://doi.org/10.17826/cumj.995110

Abstract

Ultrasound-guided thoracic paravertebral block (TPVB) is a promising new technique for use in children of various ages. In this case report, a successful ultrasound (USG) guided TPVB procedure in premature neonate is described. A 3-day-old 1600-g neonate, born at 32 weeks of gestation, was underwent thoracostomy for esophageal atresia with esophageal fistula repair. At the end of the surgery, USG-guided TPVB were successfully performed using a linear probe in the paramedian position. USG-guided TPVB could be an alternative method for providing effective analgesia in a premature neonates in the future.

Keywords

Analgesia, neonate, ultrasonography interventional, tracheoesophageal fistula

Supporting Institution

The author declared that this study has received no financial support.

Konjenital özofageal atresili, trakeo-özofajal fistül olan prematür yenidoğanda ultrason-eşliğinde torasik paravertebral blok: bir olgu sunumu

Abstract

Ultrason eşliğinde torasik paravertebral blok (TPVB), çeşitli yaşlardaki çocuklarda kullanım için umut verici yeni bir tekniktir. Bu vaka raporunda prematüre yenidoğanda başarılı bir ultrason (USG) eşliğinde TPVB prosedürü anlatılmaktadır. 32. gebelik haftasında doğan 3 günlük 1600 gr bebeğe özofagus fistül onarımı ve özofagus atrezisi nedeniyle torakostomi uygulandı. Ameliyatın sonunda, USG eşliğinde TPVB, paramedian pozisyonda lineer prob kullanılarak paravertebral erişim başarılı bir şekilde gerçekleştirildi. USG eşliğinde TPVB, gelecekte prematüre yenidoğanda etkili analjezi sağlamak için alternatif bir yöntem olabilir.

Keywords

Analjezi, yenidoğan, ultrasonografi girişimsel, trakeoözefagial fistül

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