Lumbar versus thoracic erector spinae plane block: Similar nomenclature, different mechanism of action

Köse, Halil; Köse, Selin Güven; Thomas, David Terence

doi:10.1016/j.jclinane.2018.03.026

Cited by 43 publications

(24 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The 125 articles finally included in this review included: 6 randomized controlled trials [104][105][106][107][108][109], 1 consecutive controlled before-and-after study [110], 2 observational studies [111,112], 3 review articles [2,113,121], 5 anatomical studies [3][4][5]124,125], 98 case reports [1,, and 10 opinion articles [6,[114][115][116][117][118][119][120][122][123][124][125][126]. The case reports are described in Table 1 [1,.…”

Section: Resultsmentioning

confidence: 99%

The erector spinae plane block: a narrative review

Kot

Rodríguez

Granell

et al. 2019

Korean J Anesthesiol

222

146

View full text Add to dashboard Cite

Regional anesthesia and pain management have experienced advances in recent years, especially with the advent of fascial plane blocks. The erector spinae plane block is one of the newest techniques to be described. In the past two years, publications referring to ESP block have increased significantly. The objective of this review is to analyze the articles about ESP block that have been published to date. We performed a search in the main databases and identified 368 articles. After a selection of the relevant articles, 125 studies were found eligible and were included in the review. The ESP block is performed by depositing the local anesthetic in the fascial plane, deeper than the erector spinae muscle at the tip of the transverse process of the vertebra. Many cases of its use have been described with satisfactory results in the treatment of both acute pain and chronic pain. The applicability of the technique covers many clinical scenarios. Of the 98 case reports reviewed, 12 and 87 articles, respectively described the technique as a treatment for chronic pain and acute pain. The single-shot was the most frequently used technique. As described in the articles published to date, the technique is easy to perform and has a low rate of complications. However, despite the effectiveness of the technique, further studies are necessary to obtain more evidence of its actions.

show abstract

Section: Resultsmentioning

confidence: 99%

The erector spinae plane block: a narrative review

Kot

Rodríguez

Granell

et al. 2019

Korean J Anesthesiol

222

146

View full text Add to dashboard Cite

show abstract

“…14 In most studies, injectant has been applied at the fourth or fifth thoracic vertebral level, and it is very possible that injectant spread may be different for lower thoracic or lumbar ESPB applications. 15,16 In bilateral ESPB, it is possible that spread may differ for each side, leading to the perception of block failure clinically. The spread of sensorial block may differ craniocaudally.…”

Section: Anatomic Features Of Espbmentioning

confidence: 99%

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

Tulgar¹,

Ahıskalıoğlu²,

Cassai³

et al. 2019

JPR

119

View full text Add to dashboard Cite

Erector spinae plane block (ESPB) is a newly described interfascial plane block, and the number of articles on the bilateral application of ESPB is increasing in the literature. In this paper, in addition to analyzing bilateral ESPB cases and studies published so far, we aimed to review the relevant anatomy, describe the mechanism of spread of the injectant, demonstrate varying approaches to ESPB, and summarize case reports and clinical trials, as well as provide current insight on this emerging and popular block. Randomized controlled studies, comparative studies of ESPB versus other methods, and pharmacokinetic studies of bilateral applications must be the next step in clearly understanding bilateral ESPB.

show abstract

“…Since the first published articles about ESP block at lumbar level [24,5] Kose et al reported that there are several anatomic, sonographic and application differences between ESP block at thoracic or lumbar level [25]. The rigid boundaries of the paravertebral spaces at thoracic level makes that the spread of even small volumes of LA in thoracic ESP block, effects both the ventral and dorsal rami in several levels, leading to multilevel analgesia.…”

Section: Mechanism Of Actionmentioning

confidence: 99%

“…Therefore LA is reported to spread partially to the anterior of the paravertebral space at lumbar level. It should be kept in mind that lumbar ESP block from other lumbar levels may lead to different LA spread and therefore varying anesthetic effects [25].…”

Section: Mechanism Of Actionmentioning

confidence: 99%

Erector Spinae Block. A Narrative Review

López

Cadórniga

González

et al. 2018

Central European Journal of Clinical Research

View full text Add to dashboard Cite

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.

show abstract

Lumbar versus thoracic erector spinae plane block: Similar nomenclature, different mechanism of action

Cited by 43 publications

References 4 publications

The erector spinae plane block: a narrative review

The erector spinae plane block: a narrative review

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

Erector Spinae Block. A Narrative Review

Contact Info

Product

Resources

About