Spinal erector plane block as a neuropathic pain management in post-burned pediatric patient

Vela Izquierdo C.E.; Narváez Tamayo M.A.; Renilla Carranza E.S.; Fiestas Bancayan M.; Rodríguez Calderón M. · Revista de la Sociedad Espanola del Dolor (2020) · DOI: 10.20986/resed.2020.3776/2019

Resumen

Pain management is a critical piece in the general care of the burned child. Neuropathic pain is one of its frequent consequences, which may appear at the beginning or during the wound healing process, accompanied by symptoms predominantly due to stimulation of the sympathetic nervous system, its management being an important challenge. The spinal erector plane (ESP) block is a novel regional technique that has been used in different types of surgery, with promising results. Currently, the ESP block in the pediatric population has been performed for thorax, abdomen, hip and genital surgeries, with only a few reports. As far as we know, ESP block for neuropathic pain in children has not yet been reported. The present report suggests that the thoracic ESP blockade performed at the T4 level could provide a wide and effective analgesia in neuropathic pain in addition to regulating sympathetic symptomatology, secondary to the pathophysiological changes related to the degree of burn.