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Case Reports
. 2021 Mar 12:2021:5521136.
doi: 10.1155/2021/5521136. eCollection 2021.

A Novel Use of Liposomal Bupivacaine in Erector Spinae Plane Block for Pediatric Congenital Cardiac Surgery

Stylianos Voulgarelis  1 , Gregory M Halenda  1 , Justinn M Tanem  1   2
Affiliations
Case Reports

A Novel Use of Liposomal Bupivacaine in Erector Spinae Plane Block for Pediatric Congenital Cardiac Surgery

Stylianos Voulgarelis et al. Case Rep Anesthesiol. .

Abstract

We describe the use of liposomal bupivacaine (Exparel) in erector spinae plane blocks for two patients undergoing pediatric cardiac surgery with cardiopulmonary bypass and one undergoing division of the compressive vascular ring. The perioperative course of all patients was remarkable for low pain and sedation scores, especially after chest tube removal. Erector spinae plane blocks are an expanding pain-control technique in both adult and pediatric cardiac surgery for postoperative analgesia. Liposomal bupivacaine offers prolonged analgesia and may be an attractive option for this indication.

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Conflict of interest statement

The authors have no conflicts of interest.

References

    1. Holland E. L., Bosenberg A. T. Early experience with erector spinae plane blocks in children. Pediatric Anesthesia. 2020;30(2):96–107. doi: 10.1111/pan.13804. - DOI - PubMed
    1. Macaire P., Ho N., Nguyen T., et al. Ultrasound-Guided continuous thoracic erector spinae plane block within an enhanced recovery program is associated with decreased opioid consumption and improved patient postoperative rehabilitation after open cardiac surgery-a patient-matched, controlled before-and-after study. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(6):1659–1667. doi: 10.1053/j.jvca.2018.11.021. - DOI - PubMed
    1. Krishna S. N., Chauhan S., Bhoi D., et al. Bilateral erector spinae plane block for acute post-surgical pain in adult cardiac surgical patients: a randomized controlled trial. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(2):368–375. doi: 10.1053/j.jvca.2018.05.050. - DOI - PubMed
    1. Hagen J., Devlin C., Barnett N., Padover A., Kars M., Bebic Z. Erector spinae plane blocks for pediatric cardiothoracic surgeries. Journal of Clinical Anesthesia. 2019;57:53–54. doi: 10.1016/j.jclinane.2019.03.010. - DOI - PubMed
    1. Kaushal B., Chauhan S., Magoon R., et al. Efficacy of bilateral erector spinae plane block in management of acute postoperative surgical pain after pediatric cardiac surgeries through a midline sternotomy. Journal of Cardiothoracic and Vascular Anesthesia. 2020;34(4):981–986. doi: 10.1053/j.jvca.2019.08.009. - DOI - PubMed

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