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Programmed Intermittent Bolus Regimen for Erector Spinae Plane Blocks in Children

A Retrospective Review of a Single-Institution Experience

Munshey, Farrukh MD, FRCPC; Caruso, Thomas J. MD, MEd; Wang, Ellen Y. MD; Tsui, Ban C. H. MD, FRCPC

doi: 10.1213/ANE.0000000000003817
Pediatric Anesthesiology: PDF Only

With few published reports on erector spinae plane block use in children, limited guidance on perioperative local anesthetic dosing exists. We present a series of 22 patients who received erector spinae plane catheters with programmed intermittent bolus for various surgeries. Median loading dose of 0.4 mL/kg (interquartile range [IQR], 0.1 mL/kg) ropivacaine 0.5%, intraoperative bolus of 0.3 mL/kg/h (IQR, 0.1 mL/kg) ropivacaine 0.2%, and a postoperative programmed intermittent bolus regimen of maximum 0.6 mg/kg/h resulted in highest pain scores on postoperative day 1 with a median score of 1.7 of 10 (IQR, 1.8) and highest morphine equivalents consumed on postoperative day 2 with a median score of 0.16 mg/kg up to 120 hours after surgery.

From the Department of Anesthesia, Lucile Packard Children’s Hospital Stanford, Palo Alto, California.

Accepted for publication August 22, 2018.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Reprints will not be available from the authors.

Address correspondence to Ban C. H. Tsui, MD, FRCPC, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital Stanford, 300 Pasteur Dr, 3rd Floor, Room H3584, MC 5640, Stanford, CA 94305. Address e-mail to

© 2019 International Anesthesia Research Society
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