The erector spinae plane (ESP) block: A pooled review of 242 cases

Tsui, Ban C. H.; Fonseca, Ahtziri; Munshey, Farrukh; McFadyen, Grant; Caruso, Thomas J.

doi:10.1016/j.jclinane.2018.09.036

Cited by 295 publications

(215 citation statements)

References 61 publications

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“…With the large number of case reports published over the last 2‐3 years, Tsui et al performed a comprehensive pooled review of 242 reports that included ESPB. The adult case reports dominate and only 23 of the 242 cases described were children . In that review, 76% of the cases reported a reduction in opioid use, with no reported side effects and only one adverse event (a pneumothorax) .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The adult case reports dominate and only 23 of the 242 cases described were children . In that review, 76% of the cases reported a reduction in opioid use, with no reported side effects and only one adverse event (a pneumothorax) . Ninety percentage were at a thoracic level, illustrating its popular use for thoracic, abdominal and high pelvic surgeries.…”

Section: Introductionmentioning

confidence: 99%

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Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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Background An erector spinae plane block is a relatively new regional anesthetic technique. Apart from case reports and small series, the literature regarding pediatric use is limited. Aim Our objective was to determine the efficacy of the erector spinae plane block in children by measuring the heart rate response to incision. Secondary objectives included feasibility, safety, opioid consumption, and pain scores. Furthermore, we reviewed this block in children published since 2016. Study design Case Series; Level of evidence, IV. Methods With Institutional Review Board approval, a retrospective chart review was conducted on all patients who received erector spinae plane block for surgery between October 2017 and May 2019 at a single institution. Blocks were performed under anesthesia, using ultrasound guidance prior to surgical incision. Block details and hemodynamic and analgesic data were collected. In addition, a PubMed literature review was conducted to identify all erector spinae plane block related publications in patients ≤18 years of age. Results About 164 patients, 2 days‐19.4 years, weighing 2.3‐94.7 kg, received erector spinae plane blocks. For more than 79% of single injection blocks, placement time was ≤10 minutes. Using a heart rate increase of <10% at skin incision as criterion, 70.1% of patients had a successful block. Only 20% required long‐acting opioids intraoperatively. In a subset of infants who underwent gastrostomy surgery using a dose of 0.5 mL/kg, a local anesthetic spread of at least five dermatomes (0.1 mL/kg/dermatome) was achieved. Per the literature review, 33 publications described erector spinae plane block in 128 children. No complications were reported. Conclusion Erector spinae plane blocks are relatively easy to perform in children with no complications reported to date. The efficacy of the block for a broad spectrum of surgeries, involving incisions from T1 to L4, is encouraging.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

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“…It is an easy and safe technique that-combined with multimode analgesia-reduces the use of morphine to treat postsurgery pain [2,5,6]. Over 242 cases reviewed in the literature and a bibliographical research carried out on 140 studies confirm that single-shot ESP block or with catheter is an excellent analgesic technique that may become a future valid alternative to epidural analgesia both in thorax and abdominal surgery [7,8]. However, only few cases report about ESP block as sole anesthetic technique, and the use of ESP block for gastrostomy has still not been described.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia Experience for Open Gastrostomy with Ultrasound-Guided Erector Spinae Plane Block: A Case Report

Bagaphou

Piraccini

Norgiolini

et al. 2020

Case Reports in Anesthesiology

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“…Furthermore, there are promising results for postoperative analgesia with a new plane block, the erector spinae block, which has recently been described as a safe and simple technique for neuropathic and acute postoperative pain at the thoracic level. [7,8] .…”

Section: Background Informationmentioning

confidence: 99%

A prospective randomized double-blind trial of the efficacy of a bilateral lumbar erector spinae block on the 24h morphine consumption after posterior lumbar interbody fusion surgery

Breebaart

Aken²,

Fré

et al. 2019

Preprint

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Background: Spine surgery is associated with considerable postoperative pain and can be challenging to treat. A loco-regional technique suitable for spine surgery should cover the dorsal root of the spinal nerves at the levels where surgery is performed. The erector spinae block is a loco-regional technique with promising results that was recently described at the thoracic level. There are no randomized trials of this technique on a lumbar level. This study tests the hypothesis that the 24hour postoperative morphine consumption is significantly lower in patients undergoing posterior lumbar inter-body fusion surgery with a lumbar erector spinae (LUMBES) block when compared to a sham block. Methods: This prospective randomized double-blind multicentre study will randomly allocate 80 adult patients undergoing elective posterior lumbar inter-body fusion surgery during general anaesthesia to one of two groups as follows: 1. bilateral erector spinae block (20 mL 0.25% levobupivacaine) or 2. bilateral sham block (20 ml NaCl 0.9%). Our primary endpoint is the 24-hour postoperative morphine consumption. Secondary endpoints include: 72-hour morphine consumption, intraoperative sufentanil dosage, postoperative pain scores at regular time intervals both at rest and during movement, time to first post-operative mobilization and the Quality of Recovery 40 score. Discussion: The LUMBES trial is a pragmatic clinical study that will provide evidence of whether a bilateral lumbar erector spinae block is effective in reducing 24-hour postoperative morphine consumption in patients undergoing lumbar inter-body fusion surgery. If this hypothesis is confirmed, this finding could contribute to more widespread implementation of this technique.

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The erector spinae plane (ESP) block: A pooled review of 242 cases

Cited by 295 publications

References 61 publications

Early experience with erector spinae plane blocks in children

Early experience with erector spinae plane blocks in children

Anesthesia Experience for Open Gastrostomy with Ultrasound-Guided Erector Spinae Plane Block: A Case Report

A prospective randomized double-blind trial of the efficacy of a bilateral lumbar erector spinae block on the 24h morphine consumption after posterior lumbar interbody fusion surgery

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