Erector spinae plane block: A safe, simple and effective alternative for knee surgery

Ayub, Arshad; Talawar, Praween; Gupta, Santosh Kumar; Kumar, Rakesh; Alam, Alauddin

doi:10.1177/0310057x19877655

Cited by 12 publications

(8 citation statements)

References 9 publications

(21 reference statements)

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“…25 Further investigations may be necessary before the ESP block is regarded as a reliable alternative compared to older, well-described regional techniques for orthopaedic limb procedures. 10,11,[24][25][26] Advantages of ESP blocks: why should it be used?…”

Section: Upper and Lower Limb Surgerymentioning

confidence: 99%

The “new kid” on the fascial plane block: erector spinae block – a narrative review

Morley-Jepson

Maharaj

Wagner

2021

Southern African Journal of Anaesthesia and Analgesia

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Section: Upper and Lower Limb Surgerymentioning

confidence: 99%

The “new kid” on the fascial plane block: erector spinae block – a narrative review

Morley-Jepson

Maharaj

Wagner

2021

Southern African Journal of Anaesthesia and Analgesia

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“…29,32 It has also been reported for the postoperative analgesia of knee surgery. 31,69 In a feasibility study, lumbar ESPB was found to decrease postoperative analgesia when compared to a control group. 70 The same study found that transmuscular QLB and lumbar ESPB had similar analgesic effects.…”

Section: Orthopedic Proceduresmentioning

confidence: 99%

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

Tulgar¹,

Aydın²,

Ahıskalıoğlu³

et al. 2020

LRA

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Defined in the last decade, erector spinae plane block (ESPB) is one of the more frequently used interfacial plans, and it has been the most discussed block among the recently defined techniques. Lumbar ESPB administered at lumbar levels is relatively novel and is a new horizon for regional anesthesia and pain practice. In this article, we aim to explain and introduce different approaches and explain the possible mechanism of action of lumbar ESPB. The objective of this review is to analyze the case reports, clinical and cadaveric studies about lumbar ESPB that have been published to date. We performed a search in "Pubmed" and "Google Scholar" database. After a selection of the relevant studies, 59 articles were found eligible and were included in this review. While we believe that lumbar ESPB is reliable and easy, we suggest that its efficacy and indications should be verified with anatomical and clinical studies, and its safety should be confirmed with pharmacokinetic studies. Moreover, the possibility of complications must be considered.

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“…Since then, the ESP block has been reported at many different spinal levels and has been used to provide acute post-surgical pain relief for cervical spine, thoracic spine, lumbar spine, shoulder, abdomen, pelvis, thorax, and lower extremity surgeries. [10][11][12][13][14][15][16] A report by Ueshima et al noted relief of tension headache in two patients following the use of T4 ESP block. 17 In this manuscript, we report four cases in which bilateral T4 ESP blocks provided significant relief of headaches secondary to various pathologies.…”

Section: Introductionmentioning

confidence: 99%

<p>Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block</p>

Hernandez

Guvernator

Ansoanuur

et al. 2020

LRA

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Intractable headaches can be debilitating, often leading to significant distress, prolonged medical treatment, and unanticipated hospital admissions. There have been significant advances in the treatment of primary intractable headaches such as migraines, tension headaches, and cluster headaches beyond medical management. Treatments may now include interventional strategies such as trigger-point injections, peripheral nerve stimulators, or peripheral nerve and ganglion blocks. There are few studies, however, describing the use of interventional techniques for the management of intractable secondary headaches, including those attributed to injury or infection. A new regional anesthetic technique, the erector spinae plane (ESP) block, was initially used for neuropathic thoracic pain. ESP block has since been reported to provide acute and chronic pain relief of the shoulder, spine, abdomen, pelvis, thorax, and lower extremity. Additionally, there has been one case report to describe the use of the ESP block in the treatment of refractory tension headache. We report four cases of effective analgesia for intractable secondary headache resistant to medical management with high thoracic ESP blocks. In each case, the ESP block provided instant pain relief. We suggest that the findings of this case series indicate that the ESP block may be a useful intervention in patients with severe secondary headache or posterior cervical pain where conventional therapies have limited success, though more studies are necessary.

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Erector spinae plane block: A safe, simple and effective alternative for knee surgery

Cited by 12 publications

References 9 publications

The “new kid” on the fascial plane block: erector spinae block – a narrative review

The “new kid” on the fascial plane block: erector spinae block – a narrative review

<p>Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block</p>

<p>Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block</p>

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