Pediatrik Laparaskopik Apendektomide Opioidsiz Postoperatif Ağrı Tedavisinde Yeni Bir Teknik: Erektör Spinae Plan Bloğu

Yıl 2021, Cilt: 8 Sayı: 2, 145 - 147, 31.08.2021

Ali İhsan Uysal Başak Altıparmak Melike Korkmaz Toker Süleyman Cüneyt Karakuş Semra Gümüş Demirbilek

https://doi.org/10.47572/muskutd.650708

Öz

Erektör spinae plan bloğu (ESPB) yeni tanımlanmış interfasyal bloktur ve özellikle postoperatif analjezi için uygulanmaktadır. Literatürde değişik endikasyonlarda kullanılmaktadır. Erektör spinae alan bloğu uygulandığında lokal anestezikler multilevel yayılım göstermektedir. Tek enjeksiyon ile multilevel analjezi sağlanabildiği için avantaj yaratmaktadır. Pediatrik hastalardaki laparaskopik apendektomi cerrahisinde erektör spinae alan bloğu postoperatif opioidsiz ağrı tedavisi için uygun bir seçenek olabilir.

Anahtar Kelimeler

Erektör Spinae Alan Bloğu, Laparaskopik Apendektomi, Postoperatif Analjezi, Pediatrik Hasta

A New Opioid Free Postoperative Pain Relief Technique for Pediatric Laparoscopic Appendectomy: Erector Spinae Plane Block

Öz

Erector spinae plane block (ESPB) is a new interfasial block and especially utilizing for postoperative analgesia. In literature it has different indications. Local anesthetics can spread multilevels in erector spinae plane. This gives advantage about one injection and multilevel analgesia. Erector spinae plane block can be a good choice for postoperative opioid free pain relief of laparoscopic appendectomy surgeries in pediatric patients.

Anahtar Kelimeler

Erector Spinae Plane Block, Laparascopic Appendectomy, Postoperative Analgesia, Pediatric Patient

Kaynakça

• 1. Jöhr M. Practical pediatric regional anesthesia. Curr Opinion Anaesthesiol. 2013;26(3):327-32.
• 2. Yaster M, Traystman RJ. Multimodal analgesia in children. Eur J Anaesthesiol. 2010. 27(10):851-7.
• 3. Schloss B, Bhalla T, Klingele K, Phillips D, Prestwich B, Tobias JD. A retrospective review of femoral nerve block for postoperative analgesia after knee surgery in the pediatric population. J Pediatr Orthop. 2014;34(4):459-61.
• 4. Capdevila X,Barthelet Y,Biboulet P et.al. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anesthesiology. 1999; 91:8-15.
• 5. Altıparmak B, Korkmaz Toker M, Uysal AI, Kuşçu Y, Gümüş Demirbilek S. Ultrasound-guided erector spinae plane block versus oblique subcostal transversus abdominis plane block for postoperative analgesia of adult patients undergoing laparoscopic cholecystectomy: Randomized, controlled trial. J Clin Anesth. 2019;57:31-6.
• 6. Altıparmak B, Korkmaz Toker M, Uysal Aİ, Turan M, Gümüş Demirbilek S. Comparison of the effects of modified pectoral nerve block and erector spinae plane block on postoperative opioid consumption and pain scores of patients after radical mastectomy surgery: A prospective, randomized, controlled trial. J Clin Anesth. 2019;54:61-5.
• 7. Uysal Aİ, Altıparmak B, Korkmaz Toker M, Gümüş Demirbilek S. Bi-level ESP block for left diaphragma hernia repair in a pediatric patient. J Clin Anesthesia. 2020.;61:109620.
• 8. Uğur G. The Evaluation of the Factors Affecting Emergence Agitation in Pediatric Anesthesia Practise. South Clin Istanbul Eurasia. 2018;29(1):36–44.
• 9. Fecho K, Lunney AT, Boysen PG, Rock P, Norfleet EA. Postoperative mortality after inpatient surgery: Incidence and risk factors. Ther Clin Risk Manag. 2008; 4(4): 681–8.
• 10. Jöhr M, Berger TM. Caudal block: Simple safe and effective-Response to Dr Dario Galante. Pediatr Anaesthesia. 2012;22(2):184-5.
• 11. Desparmet JF. Total spinal anesthesia after caudal anesthesia in an infant. Anesth Analg. 1990;70(6):665-7.
• 12. Bouchut JC, Dubois R, Foussat C, et al. Evaluation of caudal anaesthesia performed in conscious ex-premature infants for inguinal herniotomies. Paediatr Anaesth. 2001;11(1):55-8.
• 13. Thomas DT, Tulgar S. Ultrasound-guided Erector Spinae Plane Block in a Child Undergoing Laparoscopic Cholecystectomy. Cureus. 2018;10(2):10–2.
• 14. Aksu C, Gürkan Y. Opioid sparing effect of Erector Spinae Plane block for pediatric bilateral inguinal hernia surgeries. J Clin Anesth. 2018;50(June):62–3.
• 15. Ivanusic J, Konishi Y, Barrington MJ. A Cadaveric Study Investigating the Mechanism of Action of Erector Spinae Blockade. Reg Anesth Pain Med. 2018;43(6):567–71.
• 16. Tulgar S, Selvi O, Ozer Z. Clinical experience of ultrasound-guided single and bi-level erector spinae plane block for postoperative analgesia in patients undergoing thoracotomy. J Clin Anesth. 2018;50:22–3.
• 17. Tulgar S, Selvi O, Senturk O, Serifsoy TE, Thomas DT. Ultrasound-guided Erector Spinae Plane Block: Indications, Complications, and Effects on Acute and Chronic Pain Based on a Single-center Experience. Cureus. 2019;11(1):1–15.
• 18. Splinter WM, Thomson ME. Somatic paravertebral block decreases opioid requirements in children undergoing appendectomy. Can J Anesth. 2010;57(3):206-10.
• 19. Seyedhejazi M, Motarabbesoun S, Eslampoor Y, Taghizadieh N, Hazhir N. Appendectomy Pain Control by Transversus Abdominis Plane (TAP) Block in Children. Anesthesiol Pain Med. 2019;9(1):e83975
• 20. Chin KJ, Malhas L, Perlas A. The erector spinae plane block provides visceral abdominal analgesia in bariatric surgery a report of 3 cases. Reg Anesth Pain Med. 2017;42(3):372-6.