Anesthesia and Postoperative Pain Management Associated with the Neurophysiological Monitoring Technique in Pediatric Oncology: Case Report

• Autor(a) principal: Silva, Flavia Claro da
• Data de Publicação: 2023
• Outros Autores: Neri, Vanderson Carvalho, Sousa, Filipe Sarto de, Moura Junior, Arovel Oliveira, Coelho, Simone de Oliveira, Carvalho, Ricardo Vianna de, Moreno, Fabiola Caó de Barros
• Tipo de documento: Artigo
• Idioma: por; eng; spa
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4023
• topic: neuroblastoma; dor pós-operatória; oncologia cirúrgica; neuroblastoma; pain, postoperative; surgical oncology; neuroblastoma; dolor postoperatorio; oncologia quirúrgica

Introduction: Neuroblastoma is the most common non-central nervous system in childhood. From six to ten million children are identified with this disease annually. Surgical treatment, which involves tumor resectability, is a decisive factor in the therapeutic strategy of these patients, with clear influence on disease’s prognosis. Case report: Nursling submitted to general anesthesia and peripheral nerve block for neuroblastoma surgical resection with intraoperative neurophysiological monitoring (IONM) and spinal erector plane block (ESP), associated with the multimodal analgesia technique for pain control. The postoperative pain was evaluated using the Children’s and Infants’ Postoperative Pain Scale (CHIPPS). Conclusion: IONM has established itself as an important tool to monitor neurological functions during surgical approaches with involvement of the central nervous system, in order to avoid permanent damage to important structures. The interaction and communication of the entire team are of paramount importance in the postoperative results.