Continuous ultrasound guided erector spinae plane block for the management of chronic pain

Ahıskalıoğlu, Ali; Alici, Hacı Ahmet; Çiftçi, Bahadır; Çelik, Mine; Karaca, Oğuz

doi:10.1016/j.accpm.2017.11.014

Cited by 20 publications

(14 citation statements)

References 8 publications

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“…There have been several reports of prolonged analgesia by placing ESP catheter for management of acute and chronic pain. [6][7][8][9][10] To our knowledge, this is the first report of long-term application of ESP catheter for lung cancer pain. Erector spinae plane catheters may be beneficial both in terms of long-term use and the ease of care with patient compliance and may increase the quality of life of lung cancer patients.…”

Section: Pulmoner Malignitede Uzun Süreli Analjezi Için Ultrason Eşlimentioning

confidence: 79%

“…[5] Continuous analgesia is also possible by placing ESP catheter at cervical, thoracic and lumbar regions. [6][7][8][9][10] We have demonstrated previously that ESP block provides sufficient analgesia for unilateral thoracic pain in pulmonary malignancy. [7] We would like to present a case of long term ESP catheter placement under US guidance, which provided sufficient continuous analgesia for pulmonary malignancy pain.…”

mentioning

confidence: 95%

See 1 more Smart Citation

Ultrasound guided erector spinae plane catheter placement for long-term continuous analgesia in pulmonary malignancy: A case report

Balaban

Aydın

Yaman

2018

Agri

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Section: Pulmoner Malignitede Uzun Süreli Analjezi Için Ultrason Eşlimentioning

confidence: 79%

mentioning

confidence: 95%

Ultrasound guided erector spinae plane catheter placement for long-term continuous analgesia in pulmonary malignancy: A case report

Balaban

Aydın

Yaman

2018

Agri

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“…A growing adoption of the fascial plane block has led to a growing body of literature that has demonstrated efficacy of ESP blocks. e ESP block has been used successfully for various abdominal and thoracic surgical procedures including hepatectomy, bariatric surgery, mastectomy, and cardiac surgery as well as chronic thoracic pain conditions [12][13][14][15][16]. For major thoracic surgical procedures, the ESP block appears to offer visceral, in addition to somatic analgesia by allowing for anterior spread of local anesthetic into the paravertebral and epidural space thus blocking ventral and dorsal rami of the thoracic spinal nerves [13,17].…”

Section: Discussionmentioning

confidence: 99%

Continuous Erector Spinae Plane Block for Analgesia after Thoracotomy for Lung Transplantation in an Anticoagulated Patient

Mudarth

Satyapriya

Coffman

et al. 2021

Case Reports in Anesthesiology

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Lung transplant recipients are at particular high risk for postoperative respiratory failure as a result of poorly controlled pain, inadequate graft expansion, decreased cough, and reliance on systemic opioid therapy. Thoracic epidural and paravertebral blocks have been employed with the goal of improving postoperative pain control, improving pulmonary mechanics, and limiting the need for narcotic administration. These approaches require a needle position in proximity to the neuraxis and may cause significant hypotension that is poorly tolerated in transplant patients. Additionally, the use of anticoagulation or underlying clotting disorder limits the use of these regional blocks because of the concern of hematoma and subsequent neurologic injury. Ultrasound-guided continuous erector spinae plane (ESP) block has been shown to be efficacious for pain control following thoracotomy but has had minimal investigations following lung transplantation. In this study, we describe the effective use of a continuous erector spinae plane block to provide analgesia in a postoperative lung transplant recipient receiving systemic anticoagulation. The use of an ESP block with a more superficial needle tract that is further removed from the neuraxis allowed for a greater safety profile while providing efficacious pain control, decreased reliance on systemic narcotics, and improved oxygen saturation. The ESP block was effective in this case and thus may be a valuable alternative following lung transplantation for patients who are not candidates for thoracic epidural or paravertebral approaches.

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“…Ultrasound-guided Erector Spinae Plane Block (ESPB) is a novel regional anesthesia technique that local anesthetic(LA) injection is performed into the fascial plane situated between the transverse process of the vertebra and the erector spinae muscles, and it works by infiltration of LA into the thoracic paravertebral space [1].With the ease of complications and relatively security, its clinical application is increasing. Followed by first description in providing thoracic analgesia by Tulgar [2],it has been reported subsequently to relief both acute and chronic pain in various case reports and cadaveric studies [3][4][5][6][7].Nowadays, there are published a number of randomized controlled trials (RCTs) of ultrasound-guided ESPB for postoperative analgesia, owing to the modest sample size and inconsistent conclusion, We therefore conducted a meta-analysis to examine the clinical safety and efficacy of ultrasound-guided ESPB among adults undergoing general anesthesia (GA) surgery.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided Erector Spinae Plane Block for postoperative analgesia: A Meta-Analysis of Randomized Controlled Trials

Huang

Liu

2020

Preprint

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Background: Ultrasound-guided Erector Spinae Plane Block (ESPB) has been increasingly applied in patients for postoperative analgesia. Its safety and effectiveness remain uncertain. This meta-analysis aimed to determine the clinical safety and efficacy of ultrasound-guided ESPB in adults undergoing general anesthesia (GA) surgeries.Methods: A systematic databases search was conducted in PubMed, Embase, and the Cochrane Library for randomized controlled trials (RCTs) comparing ESPB with control or placebo. Primary outcome was iv. opioid consumption 24 h after surgery. Standardized mean differences (SMDs) or risk ratios (RRs) with 95% confidence intervals (CIs) were calculated with a random-effects model. Results: A total of 11 RCTs consisting of 540 patients were included. Ultrasound -guided ESPB showed a reduction of iv. opioid consumption 24 h after surgery (SMD=-2.15; 95% confidence interval (CI) -2.76 to -1.5,p<0.00001), pain scores at 1st hour (SMD=-0.97;95% CI -1.84 to -0.1,p=0.03) and pain scores at 6th hour (SMD=-0.64,95% CI -1.05 to -0.23,p=0.002), Also, it lessened the number of patients who required postoperative analgesia ( RR=0.41,95% CI 0.25 to 0.66,p=0,0002) and time to first rescue analgesia (SMD=4.56,95% CI 1.89 to 7.22, p=0.0008). Differences were not significant with the pain score at 12th hour,24th hour and postoperative nausea and vomiting (PONV).Conclusions: Ultrasound-guided ESPB provides postoperative analgesic efficacy in adults undergoing GA surgeries with no increase in PONV.

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Continuous ultrasound guided erector spinae plane block for the management of chronic pain

Cited by 20 publications

References 8 publications

Ultrasound guided erector spinae plane catheter placement for long-term continuous analgesia in pulmonary malignancy: A case report

Ultrasound guided erector spinae plane catheter placement for long-term continuous analgesia in pulmonary malignancy: A case report

Continuous Erector Spinae Plane Block for Analgesia after Thoracotomy for Lung Transplantation in an Anticoagulated Patient

Ultrasound-guided Erector Spinae Plane Block for postoperative analgesia: A Meta-Analysis of Randomized Controlled Trials

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