Opioid-free recovery after laparoscopic-assisted redo pull-through and loop ileostomy via sacral and thoracic erector spinae plane blocks

Adam P. Chao, Sampaguita Tafoya, Payam Saadai, Shinjiro Hirose

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article number102059
JournalJournal of Pediatric Surgery Case Reports
Volume74
DOIs
StatePublished - Nov 2021
Externally publishedYes

Keywords

  • Exparel
  • Hirschsprung disease
  • Liposomal bupivacaine
  • Multimodal analgesia
  • Pediatric regional nerve block
  • Pull-through
  • Sacral erector spinae plane block
  • Sacral multifidus plane block

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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