Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature
Pain management in patients undergoing kidney transplantation requires careful consideration due to their altered physiology, and potential risks associated with certain analgesic options. In recent years, personalized and multimodal approaches have proven to be pivotal in perioperative pain managem...
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MDPI AG
2024-02-01
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author | Paolo Capuano Gaetano Burgio Serena Abbate Giusy Ranucci Kejd Bici Davide Cintorino Antonio Arcadipane Gennaro Martucci |
author_facet | Paolo Capuano Gaetano Burgio Serena Abbate Giusy Ranucci Kejd Bici Davide Cintorino Antonio Arcadipane Gennaro Martucci |
author_sort | Paolo Capuano |
collection | DOAJ |
description | Pain management in patients undergoing kidney transplantation requires careful consideration due to their altered physiology, and potential risks associated with certain analgesic options. In recent years, personalized and multimodal approaches have proven to be pivotal in perioperative pain management, as well as in children. Implementing regional analgesia methods offers a valuable solution in many pediatric surgical settings and the erector spinae plane block (ESPB) could represent a possible analgesic strategy in pediatric patients undergoing renal transplantation. Here, we report the case of a 13-year-old child who underwent living-donor kidney transplantation (LDKx) and received continuous erector spinae plane block (ESPB) for perioperative pain management. This multimodal approach with continuous ESPB resulted in optimal pain control without the need for opioids, allowing for early mobilization and for an optimal postoperative course. |
first_indexed | 2024-03-07T22:27:10Z |
format | Article |
id | doaj.art-ee57b9dfd37a44069eb91f1a6cc77049 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-07T22:27:10Z |
publishDate | 2024-02-01 |
publisher | MDPI AG |
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series | Journal of Clinical Medicine |
spelling | doaj.art-ee57b9dfd37a44069eb91f1a6cc770492024-02-23T15:22:22ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01134112810.3390/jcm13041128Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current LiteraturePaolo Capuano0Gaetano Burgio1Serena Abbate2Giusy Ranucci3Kejd Bici4Davide Cintorino5Antonio Arcadipane6Gennaro Martucci7Department of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalyDepartment of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalyPediatric Unit, Pediatric Center, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalyPediatric Unit, Pediatric Center, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalySurgical Unit, Pediatric Center, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalySurgical Unit, Pediatric Center, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalyDepartment of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalyDepartment of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), 90127 Palermo, ItalyPain management in patients undergoing kidney transplantation requires careful consideration due to their altered physiology, and potential risks associated with certain analgesic options. In recent years, personalized and multimodal approaches have proven to be pivotal in perioperative pain management, as well as in children. Implementing regional analgesia methods offers a valuable solution in many pediatric surgical settings and the erector spinae plane block (ESPB) could represent a possible analgesic strategy in pediatric patients undergoing renal transplantation. Here, we report the case of a 13-year-old child who underwent living-donor kidney transplantation (LDKx) and received continuous erector spinae plane block (ESPB) for perioperative pain management. This multimodal approach with continuous ESPB resulted in optimal pain control without the need for opioids, allowing for early mobilization and for an optimal postoperative course.https://www.mdpi.com/2077-0383/13/4/1128fascial plane blockserector spinae plane blockkidney transplantation |
spellingShingle | Paolo Capuano Gaetano Burgio Serena Abbate Giusy Ranucci Kejd Bici Davide Cintorino Antonio Arcadipane Gennaro Martucci Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature Journal of Clinical Medicine fascial plane blocks erector spinae plane block kidney transplantation |
title | Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature |
title_full | Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature |
title_fullStr | Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature |
title_full_unstemmed | Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature |
title_short | Continuous Erector Spinae Plane Block for Pain Management in a Pediatric Kidney Transplant Recipient: A Case Report and Review of the Current Literature |
title_sort | continuous erector spinae plane block for pain management in a pediatric kidney transplant recipient a case report and review of the current literature |
topic | fascial plane blocks erector spinae plane block kidney transplantation |
url | https://www.mdpi.com/2077-0383/13/4/1128 |
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