Comparison of thoracic epidural and ultrasound guided erector spinae plane block in pediatric thoracic surgeries Reddy N V, Ghodke S, Hiremath R, Nimbannavar SM, Kulkarni MK, - J Indian Prosthodont Soc

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Comparison of thoracic epidural and ultrasound guided erector spinae plane block in pediatric thoracic surgeries N Vineela Reddy¹, Sandhya Ghodke¹, Ravishekar Hiremath², Smita M Nimbannavar³, Mahesh Krishna Kulkarni⁴ ¹ Department of Anaesthesiology, Rainbow Children Hospital, Bangalore, Karnataka, India ² Department of Community Medicine, AFMS, New Delhi, India ³ Department of Community Medicine, Koppal Institute of Medical Sciences, New Delhi, India ⁴ Department of Aviation Medicine, AFMS, New Delhi, India Correspondence Address: Sandhya Ghodke, Rainbow Children's Hospital, Marathahalli, Bengaluru, Karnataka India Source of Support: None, Conflict of Interest: None DOI: 10.4103/bjhs.bjhs_20_22

OBJECTIVE: The objective of this study was to compare the efficacy of thoracic epidural and ultrasound-guided (USG) erector spinae plane block in pediatric thoracic surgeries. MATERIALS AND METHODS: Eight patients undergoing elective thoracic surgeries – videoscopic-assisted thoracic surgeries were divided into two groups, Group A – who received single-shot thoracic epidural using 0.125% bupivacaine in a dose of 0.5 ml/kg and Group B – who received USG erector spinae block (ESP block) using 0.125% bupivacaine in a dose of 0.5 ml/kg. Postprocedure visual analog scale (VAS) score was used to assess pain for the first 24 h. Pain assessment was done 6^th hourly. Time of the first requirement of analgesics was noted and injection paracetamol 15 mg/kg intravenously was given as rescue analgesic. RESULTS: In Group A, VAS scores were higher compared to Group B. The duration of analgesia with single-shot epidural lasted for about 4–6 h postoperative whereas that with ESP block lasted for 8 or 10 h postoperatively. The time of the first requirement of analgesics was earlier in Group A compared to Group B. CONCLUSION: USG ESP block provides better analgesia compared to thoracic epidural.

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    -  Ghodke S
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    -  Kulkarni MK

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