Cardiothoracic & vascular anesthesia
Optimizing Peri‐Operative Pain Management in Children With Long QT Syndrome and Catecholaminergic Polymorphic Ventricular Tachycardia Undergoing Left Cardiac Sympathetic Denervation: A Case Series on Continuous Erector Spinae Plane Block and Serratus Plane Block
Authors' conclusion
Our results support the use of a combined regional anesthesia protocol for peri-operative pain management in pediatric channelopathy patients undergoing VATS-LCSD.
Study context
- Population
- Children with long QT syndrome (LQTS) or Catecholaminergic Polymorphic ventricular Tachycardia (CPVT) undergoing video-assisted thoracoscopic surgery (VATS) left cardiac sympathetic denervation, single centre, 2021 to March 202513 [87%] LQTS
- Participants
- 15 children
- Outcome
- Postoperative pain scores, opioid requirements and neuropathic pain incidence
Methodological detailssingle-centre, consecutive patients
- Single-centre
- Consecutive patients
Main finding
As reported in the abstract
Additional opioid doses needed
0
Ketorolac needed
0
Postoperative neuropathic pain
0
Observational data: associations, not effects.
Safety
- Major complications
- 0
- Accidental removal of Erector Spinae Plane (ESP) catheter (prophylactic morphine used)
- 1 (7%)
Original publication
Optimizing Peri‐Operative Pain Management in Children With Long QT Syndrome and Catecholaminergic Polymorphic Ventricular Tachycardia Undergoing Left Cardiac Sympathetic Denervation: A Case Series on Continuous Erector Spinae Plane Block and Serratus Plane Block. Paediatr Anaesth. Published 6 November 2025. doi:10. 1111/ pan. 70075
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