The Erector Spinae Plane Block

Forero, Mauricio; Adhikary, Sanjib Das; Lopez, Hector; Tsui, Calvin; Chin, Ki Jinn

doi:10.1097/aap.0000000000000451

Cited by 1,459 publications

(537 citation statements)

References 11 publications

Supporting

Mentioning

518

Contrasting

Unclassified

Order By: Relevance

“…This case documents a new alternative for inguinal hernia repair in newborns and infants. The effectiveness of the ESP block is explained by LA spread along the erector spinae muscle and toward the paravertebral space providing somatic and visceral pain control …”

Section: Discussionmentioning

confidence: 99%

Erector spinae plane block for inguinal hernia repair in preterm infants

Hernandez

Palazzi²,

Lapalma³

et al. 2018

Pediatric Anesthesia

View full text Add to dashboard Cite

Neuro-axial anesthesia has been the preferred technique for inguinal hernia repair when attempting to avoid general anesthesia in neonates and preterm infants. We present a case where an erector spinae plane block was used successfully for this surgery. Hemodynamic stability, minimal anesthetic requirements, and excellent pain control were documented. This block promises to be a valuable and safe alternative for inguinal hernia repair, accompanying the path of neuroprotective anesthesia.

show abstract

Section: Discussionmentioning

confidence: 99%

Erector spinae plane block for inguinal hernia repair in preterm infants

Hernandez

Palazzi²,

Lapalma³

et al. 2018

Pediatric Anesthesia

View full text Add to dashboard Cite

show abstract

“…An erector spinae plane block (ESPB) is a tissue plane block that was first described in adults in 2016 . Since its introduction, the ESPB has been used in adults to provide analgesia for a wide range of surgery including open and laparoscopic abdominal and cardiothoracic surgeries, hip arthroplasties, prostatectomies, upper extremity amputations, and cervical spine fusions .…”

Section: Introductionmentioning

confidence: 99%

“…Since its introduction, the ESPB has been used in adults to provide analgesia for a wide range of surgery including open and laparoscopic abdominal and cardiothoracic surgeries, hip arthroplasties, prostatectomies, upper extremity amputations, and cervical spine fusions . In addition to acute intraoperative and postoperative analgesia, ESPBs have also been described for chronic and non‐surgical pain, as well as a regional technique to facilitate weaning from the ventilator in the intensive care unit …”

Section: Introductionmentioning

confidence: 99%

Early experience with erector spinae plane blocks in children

Holland

Bösenberg

2020

Pediatric Anesthesia

View full text Add to dashboard Cite

Background An erector spinae plane block is a relatively new regional anesthetic technique. Apart from case reports and small series, the literature regarding pediatric use is limited. Aim Our objective was to determine the efficacy of the erector spinae plane block in children by measuring the heart rate response to incision. Secondary objectives included feasibility, safety, opioid consumption, and pain scores. Furthermore, we reviewed this block in children published since 2016. Study design Case Series; Level of evidence, IV. Methods With Institutional Review Board approval, a retrospective chart review was conducted on all patients who received erector spinae plane block for surgery between October 2017 and May 2019 at a single institution. Blocks were performed under anesthesia, using ultrasound guidance prior to surgical incision. Block details and hemodynamic and analgesic data were collected. In addition, a PubMed literature review was conducted to identify all erector spinae plane block related publications in patients ≤18 years of age. Results About 164 patients, 2 days‐19.4 years, weighing 2.3‐94.7 kg, received erector spinae plane blocks. For more than 79% of single injection blocks, placement time was ≤10 minutes. Using a heart rate increase of <10% at skin incision as criterion, 70.1% of patients had a successful block. Only 20% required long‐acting opioids intraoperatively. In a subset of infants who underwent gastrostomy surgery using a dose of 0.5 mL/kg, a local anesthetic spread of at least five dermatomes (0.1 mL/kg/dermatome) was achieved. Per the literature review, 33 publications described erector spinae plane block in 128 children. No complications were reported. Conclusion Erector spinae plane blocks are relatively easy to perform in children with no complications reported to date. The efficacy of the block for a broad spectrum of surgeries, involving incisions from T1 to L4, is encouraging.

show abstract

“…An injectate mixture of bupivacaine 0.25% 6 to 10 mL and methylprednisolone 40 to 80 mg was administered to the target area. The erector spinae plane blocks were performed deep to the erector spinae muscle, which may lead to a greater spread of the medication in comparison to a block performed superficially to the erector spinae muscle . Additionally, patients with localized midline thoracic back pain were injected with the needle directed from lateral to medial to the medial tip of the transverse process, while patients with associated lateral radiation of their pain had the needle directed from medial to lateral to the lateral border of the transverse process.…”

Section: Case Presentationmentioning

confidence: 99%

Interventional Pain Treatments in the Management of Oncologic Patients With Thoracic Spinal Tumor–Related Pain: A Case Series

et al. 2019

View full text Add to dashboard Cite

Background Advanced tumors of the thoracic spine are difficult to treat and can lead to complex pain syndromes. Following conventional oncologic treatments, pharmacologic therapy may be insufficient to manage pain. Minimally invasive interventional procedures offer alternatives to treat malignant thoracic spinal pain. Methods Thirteen patients with metastatic disease and poorly controlled thoracic axial and/or radicular pain were identified via a retrospective chart review. Patients were either treated with radiation, surgery, chemotherapy, or a combination of these. Then, the patients were organized into groups based on their diagnoses, anatomical disease locations, symptoms, prior treatments, and interventional pain procedures offered. Results All cases of intercostal nerve, costotransverse junction, erector spinae plane, and paravertebral blocks resulted in pain relief without any reported complications. A patient who received a thoracic epidural injection had a complete resolution of pain when combined with radiation therapy 2 weeks after the injection. One patient who underwent repeat thoracic epidural injections eventually had an intrathecal pump placement, resulting in reduced opioid usage. Finally, 1 patient who received a thoracic medial branch block with a relief of thoracic axial pain reported greater pain relief with a medial branch nerve cryoablation. Conclusion We propose a treatment algorithm to manage patients with thoracic spinal tumor–related pain. Interventional thoracic axial procedures may be safe and efficacious pain treatments for patients with cancer.

show abstract

The Erector Spinae Plane Block

Cited by 1,459 publications

References 11 publications

Erector spinae plane block for inguinal hernia repair in preterm infants

Erector spinae plane block for inguinal hernia repair in preterm infants

Early experience with erector spinae plane blocks in children

Interventional Pain Treatments in the Management of Oncologic Patients With Thoracic Spinal Tumor–Related Pain: A Case Series

Contact Info

Product

Resources

About