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Article Abstract
This case report describes the use of an erector spinae plane block (ESPB) for postoperative analgesia in a 4-year-old patient undergoing Meso-Rex shunt surgery. After anesthesia induction, the ESPB was performed using ultrasound guidance. During the procedure, Doppler imaging revealed nearby vascular structures, which required careful attention to avoid injury. A single injection of ropivacaine was administered, along with a catheter for continuous analgesia. The patient experienced effective pain control without the need for additional analgesics. This case highlights the importance of Doppler imaging in ensuring ESPB safety, particularly in pediatric patients. .
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