الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Thoracotomy pain management represents a major challenge,
especially in neonates. Opioid-based analgesia has proved a difficult
choice, mainly due to the associated respiratory depression when used
in neonates. Regional anesthesia provides adequate perioperative
analgesia, and the ultrasound guidance can dramatically increase the
procedure’s success rate and minimize the incidence of technical
complications.
Paravertebral block (PVB) produces a unilateral somatic and
sympathetic block which is advantageous in unilateral surgical
procedures such as thoracotomy.
Erector spinae plane block (ESPB) is a relatively new block
used to provide chest wall analgesia and has thus far displayed an
excellent safety profile. It is a facial plane block where a local
anesthetic is injected between the erector spinae muscle and the
underlying transverse process. ESPB affords an excellent margin of
safety because of its more superficial depth and greater distance from
important structures (e.g., spinal cord, pleura).
The present study designed to compare the efficacy and safety
of ultrasound-guided erector spinea plane block versus paravertebral
nerve block in neonates undergoing tracheoesophageal fistula repair.A
prospective randomized control study was conducted involving 3
groups;
1- group E; (20 patients) Ultrasound guided erector spinae plane
block group; received 2–3 mg/kg bupivacaine 0.25% with
epinephrine 1: 200 000 (maximum total volume 5 ml).
2- group P; (20 patients) Ultrasound guided Paravertebral block
group; received 2–3 mg/kg bupivacaine 0.25% with epinephrine
1: 200 000 (maximum total volume 5ml).
3- group C; (20 patients) control group; received general
anesthesia and systemic analgesia without any regional block.