Ultrasound-guided erector spinae and celiac plexus block for postoperative analgesia following surgical repair of congenital diaphragmatic hernia

• Published in: Bali journal of anesthesiology Vol. 5; no. 3; pp. 198 - 200
• Main Authors: Yadav, Rupesh, Acharya, Utsav, Malla, Sadichhya
• Format: Journal Article
• Language: English
• Published: Wolters Kluwer India Pvt. Ltd 01.07.2021; Wolters Kluwer Medknow Publications
• Subjects: celiac plexus block; congenital diaphragmatic hernia; pediatric anesthesia; postoperative analgesia; postoperative analgesia; congenital diaphragmatic hernia; pediatric anesthesia; Celiac plexus block
• ISSN: 2549-2276; 2549-2276
• DOI: 10.4103/bjoa.bjoa_225_20

Congenital diaphragmatic hernia (CDH) is a condition in which a developmental defect in the diaphragm leads to protrusion of abdominal contents into the thoracic cavity. Its definitive management is by surgical repair. Postoperative analgesia is crucial following the surgery as inadequate analgesia is a major contributing factor for postoperative pulmonary complications in these patients. Systemic analgesics with or without regional techniques such as epidural analgesia have been the mainstay of postoperative pain management following surgical correction of the defect. We report the case of a child with right-sided Morgagni hernia who underwent surgical repair under general anesthesia. For postoperative analgesia, right erector spinae plane block (ESPB) along with right celiac plexus block (CPB) was performed under ultrasound guidance with excellent results. We observed that ESPB combined with CPB provides excellent analgesia following repair of CDH.