Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks
Multi-modal analgesia with a reduction in perioperative opioid use has been a goal for many institutions due to the ongoing opioid epidemic. A reduction in opioid use can also limit undesirable side effects such as nausea, respiratory depression, and ileus in the perioperative and postoperative peri...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576621002803 |
| _version_ | 1818695672743854080 |
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| author | Adam P. Chao Sampaguita Tafoya Payam Saadai Shinjiro Hirose |
| author_facet | Adam P. Chao Sampaguita Tafoya Payam Saadai Shinjiro Hirose |
| author_sort | Adam P. Chao |
| collection | DOAJ |
| description | Multi-modal analgesia with a reduction in perioperative opioid use has been a goal for many institutions due to the ongoing opioid epidemic. A reduction in opioid use can also limit undesirable side effects such as nausea, respiratory depression, and ileus in the perioperative and postoperative periods. In this case report, we describe a child who had excellent pain control for colorectal surgery after receiving a novel sacral erector spinae plane block (ESPB) along with bilateral thoracic ESPB's with sustained-release liposomal bupivacaine (Exparel). While there is ample literature describing the efficacy of thoracic and lumbar ESPB's for post-operative analgesia, there is a paucity of information regarding the sacral approach to the ESPB when combined with liposomal bupivacaine and its application to perineal, perianal, and colorectal surgery. |
| first_indexed | 2024-12-17T13:49:12Z |
| format | Article |
| id | doaj.art-f607b06a82a645898da3c0c28eb0b289 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-17T13:49:12Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-f607b06a82a645898da3c0c28eb0b2892022-12-21T21:46:05ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-11-0174102059Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocksAdam P. Chao0Sampaguita Tafoya1Payam Saadai2Shinjiro Hirose3Corresponding author.; Shriners Hospitals for Children - Northern California, 2425, Stockton Blvd, Sacramento, CA, 95817, United StatesShriners Hospitals for Children - Northern California, 2425, Stockton Blvd, Sacramento, CA, 95817, United StatesShriners Hospitals for Children - Northern California, 2425, Stockton Blvd, Sacramento, CA, 95817, United StatesShriners Hospitals for Children - Northern California, 2425, Stockton Blvd, Sacramento, CA, 95817, United StatesMulti-modal analgesia with a reduction in perioperative opioid use has been a goal for many institutions due to the ongoing opioid epidemic. A reduction in opioid use can also limit undesirable side effects such as nausea, respiratory depression, and ileus in the perioperative and postoperative periods. In this case report, we describe a child who had excellent pain control for colorectal surgery after receiving a novel sacral erector spinae plane block (ESPB) along with bilateral thoracic ESPB's with sustained-release liposomal bupivacaine (Exparel). While there is ample literature describing the efficacy of thoracic and lumbar ESPB's for post-operative analgesia, there is a paucity of information regarding the sacral approach to the ESPB when combined with liposomal bupivacaine and its application to perineal, perianal, and colorectal surgery.http://www.sciencedirect.com/science/article/pii/S2213576621002803Sacral erector spinae plane blockSacral multifidus plane blockPediatric regional nerve blockLiposomal bupivacaineExparelMultimodal analgesia |
| spellingShingle | Adam P. Chao Sampaguita Tafoya Payam Saadai Shinjiro Hirose Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks Journal of Pediatric Surgery Case Reports Sacral erector spinae plane block Sacral multifidus plane block Pediatric regional nerve block Liposomal bupivacaine Exparel Multimodal analgesia |
| title | Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks |
| title_full | Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks |
| title_fullStr | Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks |
| title_full_unstemmed | Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks |
| title_short | Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks |
| title_sort | opioid free recovery after laparoscopic assisted redo pull through and loop ileostomy via sacral and thoracic erector spinae plane blocks |
| topic | Sacral erector spinae plane block Sacral multifidus plane block Pediatric regional nerve block Liposomal bupivacaine Exparel Multimodal analgesia |
| url | http://www.sciencedirect.com/science/article/pii/S2213576621002803 |
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