Case Reports in Anesthesiology

Case Report

A Novel Use of Liposomal Bupivacaine in Erector Spinae Plane Block for Pediatric Congenital Cardiac Surgery

Table 1

Median, 25% and 75%, mean, and standard error (SE) values for the FLACC pain score (Face, Leg, Activity, Cry, and Consolability) and RASS score (Richmond Agitation Sedation Scale). Ranges of FLACC scores observed were 0 to 10 in total. Ranges of RASS scores observed were −5 to +4. The comments column details important clinical events that could contribute to pain scores. Morphine was the sole opioid administered postoperatively in all cases.
 FLACC (Face, Leg, Activity, Cry, and Consolability)RASS (Richmond Agitation Sedation Scale)MorphineComments
Case 1Median25%/75%MeanSEMedian25%/75%MeanSEmg/kg/dayComments
POD 000/00.610.42−4.5−5/−4−3.940.370.4Dexmed infusion @ 0.6 mcg/kg/hr
POD 100/00.830.340−1/0−0.210.160.3Toradol extubated in the morning
POD 200/00.290.02−1−1/00.290.100Chest tubes were removed
POD 300/00.000.0000/0−0.080.010—
Case 2Median25%/75%MeanSEMedian25%/75%MeanSEMorphineComments
POD 000/31.950.73−3−3/−1−1.620.460.46Dexmed infusion @ 0.6 mcg/kg/hr
POD 100/01.270.5300/0−0.180.220.28Toradol, extubated in the morning
POD 200/00.080.0800/00.0000Chest tubes were removed
POD 300/00.00000/00.0000—
Case 3Median25%/75%MeanSEMedian25%/75%MeanSEMorphineComments
POD 000/00.090.730−3/−1−1.860.230.11Dexmed infusion @ 0.5 mcg/kg/hr. Scheduled tylenol/toradol
POD 100/00.420.5300/0−0.210.080Chest tubes removed
POD 200/00.000.0800/00.0000—