The Erector Spinae Plane Block

Hamilton, Duncan; Manickam, Baskar P.

doi:10.1097/aap.0000000000000565

Cited by 32 publications

(19 citation statements)

References 2 publications

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“…1). This might support the hypothesis that local anaesthetic could spread from the interfascial plane deep to the erector spinae muscle into the paravertebral space, as postulated by Hamilton [6] and Chin [2]. However, local anaesthetic spread to the paravertebral space is not predictable but could be possible.…”

Section: Discussionsupporting

confidence: 73%

The erector spinae plane block: an alternative to conventional anaesthesia in a high‐risk patient

Petrucci¹,

Coletta²,

Pizzi³

et al. 2017

Anaesthesia Cases

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Summary The choice of anaesthetic technique poses a challenge in high‐risk patients requiring emergency surgery. The erector spinae plane (ESP) block is a novel interfascial plane block, described for providing thoracic and visceral abdominal analgesia. We report the use of bilateral ultrasound‐guided ESP blocks to achieve effective anaesthesia and analgeisa in a patient with multiple comorbidities and chronic pain undergoing emergency bilateral percutaneous nephrostomy.

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Section: Discussionsupporting

confidence: 73%

The erector spinae plane block: an alternative to conventional anaesthesia in a high‐risk patient

Petrucci¹,

Coletta²,

Pizzi³

et al. 2017

Anaesthesia Cases

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“…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

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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.

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“…is diffusion allows the anesthetic to act on both the dorsal and ventral branches of the thoracic spinal nerves, as well as the communicating branches [1,[10][11][12][13]. us, ESP blocks often mimic the effects of retrolaminar or paravertebral blocks [13,14]. Furthermore, since the erector spine muscles extend to the lumbar region, ESP blocks can produce abdominal analgesia if performed at the low thoracic or lumbar levels [2].…”

Section: Discussionmentioning

confidence: 99%

“…We speculate that this was due to the patient's previous scoliosis surgery and consequent scar retraction, which may have reduced the elasticity of the fascial plane in which the local anesthetic is deposited. e first publications on ESP block described thoraciclevel treatment of neuropathic pain, rib fractures, thoracic vertebral surgery, and thoracic surgery [1,14,[18][19][20]. Later, ESP block use was also reported in abdominal surgery for ventral hernia repair, bariatric surgery, nephrectomy, and hepatobiliary surgery [3,12,[21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block

Luis-Navarro

Fornés-Rumbao

DeLaCalle-Gil

et al. 2020

Case Reports in Anesthesiology

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Multimodal anesthesia, which combines general and epidural anesthesia, is used in surgical cases in which a large or painful incision is anticipated. However, both epidural blocks and opioid-based analgesia have limitations in application. Here, we present a case of supra-infraumbilical laparotomy in a patient whose history of neurostimulator use and marked scoliosis discouraged the placement of an epidural catheter and whose prior adverse response to opioids prohibited their use. e intraoperative and postoperative management of this patient consisted of a combination of analgesia without opioids and erector spinae plane block. Adequate analgesia was achieved, and intraoperative or postoperative opioids were not required. is case illustrates the importance of mastering alternative and multimodal analgesia techniques that can be used in place of classical analgesia techniques when classical analgesia techniques are not appropriate.

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The Erector Spinae Plane Block

Cited by 32 publications

References 2 publications

The erector spinae plane block: an alternative to conventional anaesthesia in a high‐risk patient

The erector spinae plane block: an alternative to conventional anaesthesia in a high‐risk patient

The erector spinae plane block: a narrative review

Multimodal Anesthesia via Opioid-Free Analgesia and Erector Spinae Plane Block

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