The Use of the Erector Spinae Plane Block to Decrease Pain and Opioid Consumption in the Emergency Department: A Literature Review

Abdelhamid, Kenzy; ElHawary, Hassan; Turner, Joel

doi:10.1016/j.jemermed.2020.02.022

Cited by 35 publications

(29 citation statements)

References 31 publications

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“…Other indications for use of erector spinae plane block in emergency department are lumbar transverse process fractures and mechanical back pain. Indications, contraindications and complications are summarised in Table 2 17,18 …”

Section: Discussionmentioning

confidence: 99%

Erector spinae plane block for multiple rib fracture done by an Emergency Physician: A case series

Gaurav

Bhoi

Sinha

et al. 2020

Australas J Ultrason Med

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The erector spinae plane block is a novel ultrasound‐guided technique that has recently been described for the management of rib fracture pain in the emergency department. This block has been used in the post‐operative period and chronic thoracic pain and is usually done by experts of anaesthesia or critical care. Erector spinae plane block is an unexplored domain for rib fracture pain management in emergency department. We highlight the use of this block is a safe and effective block that can be performed by emergency physician in the emergency department settings with point of care ultrasound.

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Section: Discussionmentioning

confidence: 99%

Erector spinae plane block for multiple rib fracture done by an Emergency Physician: A case series

Gaurav

Bhoi

Sinha

et al. 2020

Australas J Ultrason Med

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“…Opioid consumption is getting less popular especially as a highly efficient, easily applicable and safe component of multi‐model analgesic. ESP block has been successfully employed at emergency departments in pain management of various clinical situations such as rib fractures, burns, herpes zoster and acute pancreatitis 9 . With the ESP block, the local anaesthetic solution crosses the superior costotransverse ligament and spreads into the paravertebral space.…”

Section: Discussionmentioning

confidence: 99%

“…To conclude, the ultrasound-guided plane blocks have been included in the multimodel analgesic concept as a non-opioid analgesic option. 9 The ultrasound-guided erector spinae plane (ESP) block, which was first defined with thoracic neuropathic pain management by Forero, 10 is currently routinely used in several surgical procedures for postoperative analgesia, 11,12 and it is also used in the analgesic management of various acute and chronic pain. 13,14 We have shared a presentation of three cases to point out the analgesic efficacy that the ESP block might potentially have in acute renal colic.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, when performed with ultrasound guidance, regional anaesthesia techniques have gained a tremendous amount of popularity in eliminating acute pain over the recent years. To conclude, the ultrasound‐guided plane blocks have been included in the multi‐model analgesic concept as a non‐opioid analgesic option 9 . The ultrasound‐guided erector spinae plane (ESP) block, which was first defined with thoracic neuropathic pain management by Forero, 10 is currently routinely used in several surgical procedures for postoperative analgesia, 11,12 and it is also used in the analgesic management of various acute and chronic pain 13,14 .…”

Section: Introductionmentioning

confidence: 99%

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Erector spinae plane block vs non‐steroidal anti‐inflammatory drugs for severe renal colic pain: A pilot clinical feasibility study

et al. 2020

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Aim Ultrasound‐guided plane blocks are increasingly used in the multi‐modal analgesic concept for reducing opioid consumption. The present study was conducted to compare the analgesic effect of intravenous non‐steroidal anti‐inflammatory drugs (NSAIDs) and erector spinae plane (ESP) block in renal colic patients. Methods In this prospective randomised study, 40 patients with renal colic pain were randomly assigned into two groups: Group NSAID (n = 20) received an intravenous infusion of 50 mg of dexketoprofen trometamol and Group ESP (n = 20) received ultrasound‐guided ESP block with 30 ml 0.25% bupivacaine at the T8 level. The pain severity of patients was assessed using the visual analogue scale (VAS) at baseline, 5, 15, 30, 45 and 60 minutes after intervention. Opioid consumption, patient satisfaction and side effects were recorded. Results In the ESP group, the VAS scores were significantly lower than the NSAID group at 5, 15, 30, 45 and 60 minutes after the procedure (P < .001). Opioid consumption was significantly higher in the NSAID group compared with the ESP group (10/20 vs 0/20, respectively; P < .001). Patient satisfaction was significantly higher in the ESP group (P < .001). Conclusions ESP block can be an alternative, efficient and safe method for the relief of acute renal colic pain.

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“…Moreover, when performed with ultrasound guidance, regional anesthesia techniques have gained a tremendous amount of popularity in eliminating acute pain over the recent years. To conclude, the ultrasound-guided plane blocks have been included in the multi-model analgesic concept as a non-opioid analgesic option 9 . The ultrasound-guided erector spinae plane (ESP) block, which was first defined with thoracic neuropathic pain management by Forero 10 , is currently routinely used in several surgical procedures for postoperative analgesia 11,12 , and it is also used in the analgesic management of various acute and chronic pain 13,14 .…”

Section: Introductionmentioning

confidence: 99%

Erector spinae plane block vs. Nonsteroidal anti-inflammatory drugs for severe renal colic pain: a pilot clinical feasibility study

Aydın

Tekin

Ahıskalıoğlu

et al. 2020

Preprint

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Aim: Ultrasound-guided plane blocks are increasingly used in the multi-modal analgesic concept for reducing opioid consumption. The present study was conducted to compare the analgesic effect of intravenous nonsteroidal anti-inflammatory drugs (NSAIDs) and erector spinae plane (ESP) block in renal colic patients. Methods: In this prospective randomized study, 40 patients with renal colic pain were randomly assigned to into two groups; Group NSAID (n=20) received an intravenous infusion of 50 mg of dexketoprofen trometamol, Group ESP (n=20) received ultrasound-guided erector spinae plane block with 30 ml 0.25% bupivacaine at the T8 level. The pain severity of patients was assessed using the visual analog scale (VAS) at baseline, 5., 15., 30., 45. and 60. minutes after intervention. Opioid consumption, patient satisfaction and side effects were recorded. Results: In the ESP group, the VAS scores were significantly lower than the NSAID group at 5., 15., 30., 45. and 60. minutes after the procedure (P<0.001). Opioid consumption was significantly higher in the NSAID group compared with the ESP group (10/20 vs. 0/20, respectively; p<0.001). Patient satisfaction was significantly higher in the ESP group (p<0.001). Conclusions: ESP block can be an alternative, efficient, and safe method for the relief of acute renal colic pain. a. What is already known about the topic: Non-steroidal anti-inflammatory drugs, systemic opioid analgesics, trigger point injections and other regional anesthetic methods were commonly used analgesic methods for renal colic pain. The effect of interfacial plane blocks is still limited. b. What new information this study adds: This is the first randomized controlled study to evaluate the use of erector spinae plane block for severe renal colic pain. Erector spinae plane block provides effective analgesia with opioid sparing effects for this indication.

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The Use of the Erector Spinae Plane Block to Decrease Pain and Opioid Consumption in the Emergency Department: A Literature Review

Cited by 35 publications

References 31 publications

Erector spinae plane block for multiple rib fracture done by an Emergency Physician: A case series

Erector spinae plane block for multiple rib fracture done by an Emergency Physician: A case series

Erector spinae plane block vs non‐steroidal anti‐inflammatory drugs for severe renal colic pain: A pilot clinical feasibility study

Erector spinae plane block vs. Nonsteroidal anti-inflammatory drugs for severe renal colic pain: a pilot clinical feasibility study

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