Differential nerve blockade to explain anterior thoracic analgesia without sensory blockade after an erector spinae plane block may be wishful thinking
Ranjith Kumar Sivakumar,
Chayapa Luckanachanthachote,
Manoj Kumar Karmakar
Abstract:Ultrasound-guided erector spinae plane block (ESPB) is currently used as a component of multimodal analgesic regimen in a multitude of indications but the mechanism by which it produces anterior thoracic analgesia remains a subject of controversy. This is primarily the result of ESPB’s failure to consistently produce cutaneous sensory blockade (to pinprick and cold sensation) over the anterior hemithorax. Nevertheless, ESPB appears to provide ‘clinically meaningful analgesia’ in various clinical settings. Late… Show more
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