Erector Spinae Plane Block in pediatric cancer pain: Case report

Abstract

The advent of the erector spinae plane block brought about new therapeutic options as part of a multimodal analgesia strategy, as evidenced in this case, which describes a five-year old pre-school patient who presented with severe abdominal cancer pain, secondary to an abdominal neuroblastoma, with partial high-dose opioid response, undergoing bilateral erector spinal plane block. The technique used did not give rise to complications and proved to be effective in blocking pain and reducing the dose of opioids 36 hours after the procedure. The paper discusses the variables involved in the mode of administration (continuous infusion vs. bolus) and the benefit for optimal analgesia in the pediatric oncology setting.