Present a Pediatric Surgical Case Requiring Regional Anaesthesia Share clinical details of an 8-month-old patient undergoing Ladd’s procedure for jejunal stenosis with malrotation. Review Preoperative Assessment and Anaesthetic Planning Discuss patient history, examination findings, and anaesthetic strategy including airway management and induction. Demonstrate the Technique and Application of ESP Block Describe the ultrasound-guided erector spinae plane block procedure, medication preparation, and anatomical landmarks. Evaluate Intraoperative and Postoperative Outcomes Analyze vital signs, analgesic requirements, and recovery following ESP block and general anaesthesia. Explore the Evidence and Mechanisms Behind ESP Block Review cadaveric studies, spread of local anaesthetic, and comparative effectiveness with other regional blocks. Compare ESP Block with Other Techniques Contrast ESP with QL and TAP blocks in terms of efficacy, safety, and technical simplicity. Discuss the Role of Adjuvants in Regional Anaesthesia Examine the use of dexmedetomidine, clonidine, and opioids to enhance block duration and recovery quality. Highlight Indications and Advantages of ESP Block Identify surgical scenarios where ESP block is beneficial and outline its safety profile and versatility. Promote Evidence-Based Practice in Paediatric Regional Anaesthesia Integrate literature findings to support clinical decisions and encourage further research and quality improvement.