Ultrasound-guided thoracic paravertebral block in a premature neonate with congenital oesophageal atresia with a tracheo-oesophageal fistula: a case report
Öz
Ultrasound-guided thoracic paravertebral block (TPVB) is a promising new technique for use in children of various ages. In this case report, a successful ultrasound (USG) guided TPVB procedure in premature neonate is described. A 3-day-old 1600-g neonate, born at 32 weeks of gestation, was underwent thoracostomy for esophageal atresia with esophageal fistula repair. At the end of the surgery, USG-guided TPVB were successfully performed using a linear probe in the paramedian position. USG-guided TPVB could be an alternative method for providing effective analgesia in a premature neonates in the future.
Anahtar Kelimeler
Analgesia neonate ultrasonography interventional tracheoesophageal fistula
Destekleyen Kurum
The author declared that this study has received no financial support.
Kaynakça
- Lönnqvist PA. Continuous paravertebral block in children: initial experience. Anaesthesia. 1992;47:607–9.
- Eng J, Sabanathan S. Continuous paravertebral block for post-thoracotomy analgesia in children. J Pediatr Surg. 1992;27:556–7.
- Bairdain S, Dodson B, Zurakowski D, Waisel DB, Jennings RW, Boretsky KR. Paravertebral nerve block catheters using chloroprocaine in infants with prolonged mechanical ventilation for treatment of long-gap esophageal atresia. Paediatr Anaesth. 2015;25:1151–7.
- Kendigelen P, Ozcan R, Emre S. Ultrasound-guided thoracic paravertebral block experience in a child. Turk J Anaesth Reanim. 2016;44:57-8.
- Chelly JE. Paravertebral blocks. Anesthesiol Clin. 2012;30:75-90.
- Renes SH, Bruhn J, Gielen MJ, Scheffer GJ, van Geffen GJ. In-plane ultrasound-guided thoracic paravertebral block: a preliminary report of 36 cases with radiologic confirmation of catheter position. Reg Anesth Pain Med. 2010;35:212-6.
- Ali MA, Akbar AS. Report of a case of ultrasound-guided continuous thoracic paravertebral block for post-thoracotomy analgesia in a child. Middle East J Anaesthesiol. 2013;22:107-8.
- Boretsky K, Visoiu M, Bigeleisen P. Ultrasound-guided approach to the paravertebral space for catheter insertion in infants and children. Paediatr Anesth. 2013;23:1193-8.
- Berta E, Spanhel J, Smakal O, Smolka V, Gabrhelik T, lönnqvist PA. Single-injection paravertebral block for renal surgery in children. Paediatr Anesth. 2008;18:593-7.
- Visoiu M, Yang C. Ultrasound-guided bilateral paravertebral continuous nerve blocks for a mildly coagulopathic patient undergoing exploratory laparotomy for bowel resection. Paediatr Anesth. 2011;21:459-62.
- Turkoz A, Balci ST, Guner MC, Ulugol H, Vuran C, Ozker E, et al. Anesthesia management with single injection paravertebral block for aorta coarctation in infant. Paediatr Anesth. 2013;23:1078-83.
- Kandia N, Walker K, Boretsky K. Ultrasound-guided paravertebral block facilitated tracheal extubation in a 5-week old infant with rib fractures and respiratory failure. Anesth Analg Case Rep. 2014;2:131-2.
- American Academy of Pediatrics and Canadian Paediatric Society, Batton DG, Barrington KJ, Wallman C. Prevention and management of pain in the neonate: an update. Pediatrics. 2006;118: 2231–41
Konjenital özofageal atresili, trakeo-özofajal fistül olan prematür yenidoğanda ultrason-eşliğinde torasik paravertebral blok: bir olgu sunumu
Öz
Ultrason eşliğinde torasik paravertebral blok (TPVB), çeşitli yaşlardaki çocuklarda kullanım için umut verici yeni bir tekniktir. Bu vaka raporunda prematüre yenidoğanda başarılı bir ultrason (USG) eşliğinde TPVB prosedürü anlatılmaktadır. 32. gebelik haftasında doğan 3 günlük 1600 gr bebeğe özofagus fistül onarımı ve özofagus atrezisi nedeniyle torakostomi uygulandı. Ameliyatın sonunda, USG eşliğinde TPVB, paramedian pozisyonda lineer prob kullanılarak paravertebral erişim başarılı bir şekilde gerçekleştirildi. USG eşliğinde TPVB, gelecekte prematüre yenidoğanda etkili analjezi sağlamak için alternatif bir yöntem olabilir.
Anahtar Kelimeler
Analjezi yenidoğan ultrasonografi girişimsel trakeoözefagial fistül
Kaynakça
- Lönnqvist PA. Continuous paravertebral block in children: initial experience. Anaesthesia. 1992;47:607–9.
- Eng J, Sabanathan S. Continuous paravertebral block for post-thoracotomy analgesia in children. J Pediatr Surg. 1992;27:556–7.
- Bairdain S, Dodson B, Zurakowski D, Waisel DB, Jennings RW, Boretsky KR. Paravertebral nerve block catheters using chloroprocaine in infants with prolonged mechanical ventilation for treatment of long-gap esophageal atresia. Paediatr Anaesth. 2015;25:1151–7.
- Kendigelen P, Ozcan R, Emre S. Ultrasound-guided thoracic paravertebral block experience in a child. Turk J Anaesth Reanim. 2016;44:57-8.
- Chelly JE. Paravertebral blocks. Anesthesiol Clin. 2012;30:75-90.
- Renes SH, Bruhn J, Gielen MJ, Scheffer GJ, van Geffen GJ. In-plane ultrasound-guided thoracic paravertebral block: a preliminary report of 36 cases with radiologic confirmation of catheter position. Reg Anesth Pain Med. 2010;35:212-6.
- Ali MA, Akbar AS. Report of a case of ultrasound-guided continuous thoracic paravertebral block for post-thoracotomy analgesia in a child. Middle East J Anaesthesiol. 2013;22:107-8.
- Boretsky K, Visoiu M, Bigeleisen P. Ultrasound-guided approach to the paravertebral space for catheter insertion in infants and children. Paediatr Anesth. 2013;23:1193-8.
- Berta E, Spanhel J, Smakal O, Smolka V, Gabrhelik T, lönnqvist PA. Single-injection paravertebral block for renal surgery in children. Paediatr Anesth. 2008;18:593-7.
- Visoiu M, Yang C. Ultrasound-guided bilateral paravertebral continuous nerve blocks for a mildly coagulopathic patient undergoing exploratory laparotomy for bowel resection. Paediatr Anesth. 2011;21:459-62.
- Turkoz A, Balci ST, Guner MC, Ulugol H, Vuran C, Ozker E, et al. Anesthesia management with single injection paravertebral block for aorta coarctation in infant. Paediatr Anesth. 2013;23:1078-83.
- Kandia N, Walker K, Boretsky K. Ultrasound-guided paravertebral block facilitated tracheal extubation in a 5-week old infant with rib fractures and respiratory failure. Anesth Analg Case Rep. 2014;2:131-2.
- American Academy of Pediatrics and Canadian Paediatric Society, Batton DG, Barrington KJ, Wallman C. Prevention and management of pain in the neonate: an update. Pediatrics. 2006;118: 2231–41
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mart 2022 |
| Kabul Tarihi | 14 Kasım 2021 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 47 Sayı: 1 |
