Ultrasound-Guided Bilateral Erector Spinae Block Versus Tumescent Anesthesia for Postoperative Analgesia in Patients Undergoing Reduction Mammoplasty: A Randomized Controlled Study

Öksüz, Gözen; Bilgen, Fatma; Arslan, Mahmut; Duman, Yakup; Urfalıoğlu, Aykut; Bilal, Bora

doi:10.1007/s00266-018-1286-8

Cited by 43 publications

(28 citation statements)

References 21 publications

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“…The 125 articles finally included in this review included: 6 randomized controlled trials [104][105][106][107][108][109], 1 consecutive controlled before-and-after study [110], 2 observational studies [111,112], 3 review articles [2,113,121], 5 anatomical studies [3][4][5]124,125], 98 case reports [1,, and 10 opinion articles [6,[114][115][116][117][118][119][120][122][123][124][125][126]. The case reports are described in Table 1 [1,.…”

Section: Resultsmentioning

confidence: 99%

“…Total morphine consumption in block group decreased by 65% at 24 h compared to the control group (5.76 ± 3.80 mg vs. 16.60 ± 6.92 mg), but there was no statistically significant difference between the groups in terms of NRS scores. Oksuz et al [106] also compared the bilateral ESP block with tumescent anesthesia for postoperative analgesia in 43 patients undergoing reduction mammoplasty. The NRS scores and the requirement for additional analgesia were statistically significantly lower in the ESP group.…”

Section: Resultsmentioning

confidence: 99%

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The erector spinae plane block: a narrative review

Kot

Rodríguez

Granell

et al. 2019

Korean J Anesthesiol

206

146

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Regional anesthesia and pain management have experienced advances in recent years, especially with the advent of fascial plane blocks. The erector spinae plane block is one of the newest techniques to be described. In the past two years, publications referring to ESP block have increased significantly. The objective of this review is to analyze the articles about ESP block that have been published to date. We performed a search in the main databases and identified 368 articles. After a selection of the relevant articles, 125 studies were found eligible and were included in the review. The ESP block is performed by depositing the local anesthetic in the fascial plane, deeper than the erector spinae muscle at the tip of the transverse process of the vertebra. Many cases of its use have been described with satisfactory results in the treatment of both acute pain and chronic pain. The applicability of the technique covers many clinical scenarios. Of the 98 case reports reviewed, 12 and 87 articles, respectively described the technique as a treatment for chronic pain and acute pain. The single-shot was the most frequently used technique. As described in the articles published to date, the technique is easy to perform and has a low rate of complications. However, despite the effectiveness of the technique, further studies are necessary to obtain more evidence of its actions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The erector spinae plane block: a narrative review

Kot

Rodríguez

Granell

et al. 2019

Korean J Anesthesiol

206

146

View full text Add to dashboard Cite

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“…However, Ueshima et al [15] reported that an ESP block cannot effectively achieve the full analgesia of T2-T6 anterior branch, and cannot be assumed to provide complete analgesia for breast cancer surgery. Drennen et al [16] questioned the pain scores of Oksuz et al [10] in that they were higher when compared to previous reports, and questioned the efficacy and use of ESP block in breast reduction surgery without better evidence. Therefore, whether ESP block can produce reliable postoperative analgesia in breast surgery remains uncertain.…”

Section: Fig 2 Marked Lines and Pointsmentioning

confidence: 95%

“…Increasing cases of ultrasound-guided erector spinae plane block appeared in clinical applications [4,5]. At the same time, in order to demonstrate the effect of ultrasound-guided ESP block, many clinical randomized controlled trials (RCT) have been conducted [3,[6][7][8][9][10][11]. Tulgar et al [6] confirmed that bilateral ultrasound guided ESP block leads to effective analgesia and reduce analgesia requirement in first 12 h in patients undergoing laparoscopic cholecystectomy (LC).…”

Section: Backgroudmentioning

confidence: 99%

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The erector spinae plane block causes only cutaneous sensory loss on ipsilateral posterior thorax: a prospective observational volunteer study

Zhang

Wang

et al. 2020

BMC Anesthesiol

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Background: Ultrasound-guided erector spine plane (ESP) block is widely used in perioperative analgesia for back, chest and abdominal surgery. The extent and distribution of this block remain controversial. This study was performed to assess the analgesia range of an ultrasound-guided ESP block. Methods: This prospective observational volunteer study consisted of 12 healthy volunteers. All volunteers received an erector spinae plane block at the left T5 transverse process using real-time ultrasound guidance. Measured the cutaneous sensory loss area (CSLA) and cutaneous sensory declination area (CSDA) using cold stimulation at different time points after blockade until its disappearance. The CSLA and CSDA were mapped and then calculated. The block range was described by spinous process level and lateral extension. The effective block duration for each volunteer was determined and recorded. Results: The cold sensory loss concentrates at T6-T9. The decline concentrates primarily at T4-T11. The lateral diffusion of block to the left side did not cross the posterior axillary line, and reached the posterior median line on the right. The area of cutaneous sensory loss was (172 ± 57) cm 2 , and the area of cutaneous sensory decline was (414 ± 143) cm 2. The duration of cutaneous sensory decline was (586 ± 28) minutes. Conclusion: Ultrasound-guided erector spine plane block with 20 mL of 0. 5% ropivacaine provided a widespread cutaneous sensory block in the posterior thorax, but did not reach the anterior chest, lateral chest, or abdominal walls. The range of the blockade suggested that the dorsal branch of spinal nerve was blocked.

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