Erector Spinae Plane Block Versus Retrolaminar Block

Adhikary, Sanjib Das; Bernard, Stephanie A.; Lopez, Hector; Chin, Ki Jinn

doi:10.1097/aap.0000000000000798

Cited by 232 publications

(131 citation statements)

References 17 publications

(25 reference statements)

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“…There was potential involvement of the lateral cutaneous branches of the intercostal nerves lateral to the angle of the ribs. Further research is needed to clarify these [21] On the other hand, there has been consistently reported that the ESP block produced additional spread to intercostals spaces over 5 to 9 levels and was associated with a greater extent of craniocaudal spread along the paraspinal muscles such as Adhikary et al demonstrated with cadaveric observations [22]. Despite of this, Chin et al recommend that it makes more sense to perform an ESP block and inject at a vertebral level congruent to the abdominal surgical incision, rather than relying on adequate spread of the LA.…”

Section: Mechanism Of Actionmentioning

confidence: 98%

Erector Spinae Block. A Narrative Review

López

Cadórniga

González

et al. 2018

Central European Journal of Clinical Research

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The erector spinae plane block is a novel ultrasound-guided technique that has recently been described for the management of acute and chronic thoracic pain. Currently an increasingly number of indications for the ESP block have been published. Nevertheless, the anatomy, mechanism of action, doses and volume of local anesthetic needed are still unclear. The aim of this narrative review is study this new block with base on the updated medical literature.

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Section: Mechanism Of Actionmentioning

confidence: 98%

Erector Spinae Block. A Narrative Review

López

Cadórniga

González

et al. 2018

Central European Journal of Clinical Research

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“…The proposed mechanism of action of the ESPB is via blockade of the dorsal and ventral rami of the spinal nerves. 7,8 Anatomy and imaging studies suggest that the local anesthetic injected into the ESP spreads cranially and caudally as the plane maintains continuity along the spine. Part of the appeal of the ESPB could be that it is easy to implement and gains indirect access to the paravertebral space, and provides analgesia with lower risk for pneumothorax compared with neuraxial block and paravertebral block.…”

Section: Introductionmentioning

confidence: 99%

<p>Bilateral Erector Spinae Plane Blocks for Open Posterior Lumbar Surgery</p>

Zhang¹,

Zhang²,

Qu³

et al. 2020

JPR

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Purpose: Erector spinae plane block (ESPB) is a newly reported interfascial plane block in pain management, and it can block the nerves exactly in line with the area of the posterior lumbar surgery. The objective of this research was to determine the effectiveness of preoperative ESPB in enhancing recovery of posterior lumbar surgery. Patients and Methods: A total of 60 patients undergoing open posterior lumbar decompression surgery under general anesthesia were randomized into two groups. T12 group was performed pre-operatively bilateral ESPB with ropivacaine at the T12 level, but control group did not receive the block. The primary outcome was the Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score at 10 minutes after extubation. Secondary outcomes included intraoperative sufentanil consumption, postoperative morphine consumption, first time to ambulation after surgery and hospital length of stay after surgery. All participants were followed up to hospital discharge. Results: The mean (SD) MOAA/S scores at 10 minutes after extubation were 4.2 (95% CI, 4.0 to 4.4), and 3.4 (95% CI, 3.2 to 3.6) in the T12 and control groups (P <0.001), respectively. Intraoperative sufentanil consumption (P =0.007) and postoperative morphine consumption (P =0.003) were lower in the T12 group than in the control group. Although first time to ambulation after surgery was sooner in the T12 group than in the control group (P =0.003), hospital length of stay was similar (P=0.054). Conclusion: Pre-operative bilateral ESPB at T12 can enhance recovery after posterior lumbar surgery and reduce perioperative opioid consumption.

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“…The ESP block has been shown to be able to block the thoracic spinal nerves from Magnetic Resonance Imaging [6]. Nevertheless, this study showed that the ESP block could not provide effective analgesia for 24 hours post-surgery in patients undergoing pneumothorax surgery.…”

Section: Discussionmentioning

confidence: 65%

Analgesic Efficacy of the Erector Spinae Plane (ESP) Block for Pneumothorax Surgery: A Retrospective Study

Ishida¹,

Ueshima²,

Yoshiyama³

et al. 2019

OJAnes

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Background: Poor perioperative pain management during pneumothorax surgery leads to respiratory complications in the post-operative period. The erector spinae plane (ESP) block technique has been shown to be able to block the thoracic spinal nerves. Therefore, the ESP block may provide effective analgesic during thoracic surgery. We have retrospectively investigated the effectiveness of the ESP block for postoperative pain management in pneumothorax surgery. Patients and Methods: Patients who underwent pneumothorax surgery in 2017 were selected for the study. The primary outcome was assessed using the numeric pain rating (NRS) scales until the morning of the second post-operative day. The secondary outcomes were the cumulative amount of additional intravenous fentanyl administration until the morning of the second post-operative day. Results: This retrospective study included 29 patients who underwent pneumothorax surgery. Of these patients, 13 patients received only general anaesthesia (control group), while the other 16 patients received the ESP block in addition to general anaesthesia (study group). Compared to the control group, the study group did not show lower NRS scores at 1, 2, 4, 6, 12, and 24 hours post-surgery (P = 0.09, 0.17, 0.06, 0.36, 0.47, and 0.71). As for the cumulative amount of additional fentanyl, there were also no significant differences between the both groups. Conclusions: The ESP block could not provide effective analgesia for the 24 hours post-surgery period in patients undergoing pneumothorax surgery.

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Erector Spinae Plane Block Versus Retrolaminar Block

Cited by 232 publications

References 17 publications

Erector Spinae Block. A Narrative Review

Erector Spinae Block. A Narrative Review

<p>Bilateral Erector Spinae Plane Blocks for Open Posterior Lumbar Surgery</p>

Analgesic Efficacy of the Erector Spinae Plane (ESP) Block for Pneumothorax Surgery: A Retrospective Study

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