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

Paediatr AnaesthPublished Retrospective case series

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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