Erector spinae plane block: a systematic qualitative review

<p>Efficacy of bilateral erector spinae plane block in the management of pain: current insights</p>

“…Studies published thereafter have however concentrated on the use of ESPB for perioperative or postoperative analgesia. [2][3][4] The first bilateral ESPB, described for postoperative analgesia in laparoscopic ventral hernia surgery, was also reported from the same center where ESPB was originally described. 5 The initial clinical findings suggested that ESPB injectant would spread to both the dorsal and ventral ramus of the spinal nerves, leading to blockage of both somatic and visceral pain, a effect similar to epidural analgesia.…”

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

“…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.…”

Defining the Indications and Levels of Erector Spinae Plane Block in Pediatric Patients: A Retrospective Study of Our Current Experience

“…The main concern regarding ESPB is still a lack of knowledge concerning its mechanism of action. There is no consensus in the literature, and controversial results are even being reported, as in the review study by De Cassai et al [25]. Possible mechanisms suggested to date by cadaveric, anatomic, and magnetic resonance imaging studies include epidural, paravertebral, intercostal, and extensive lateral and longitudinal diffusion [25].…”

“…There is no consensus in the literature, and controversial results are even being reported, as in the review study by De Cassai et al [25]. Possible mechanisms suggested to date by cadaveric, anatomic, and magnetic resonance imaging studies include epidural, paravertebral, intercostal, and extensive lateral and longitudinal diffusion [25]. Based on our current data, we think that epidural spread of LA may contribute to analgesic effect significantly, and we would advise clinicians to consider epidural spread when deciding on the application level and the volume of LA.…”