2018
DOI: 10.1016/j.jclinane.2017.11.006
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Ultrasound guided Erector Spinae Plane block at L-4 transverse process level provides effective postoperative analgesia for total hip arthroplasty

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Cited by 113 publications
(82 citation statements)
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“…For the lumbar region, ESPB was first described in hip surgery in the lateral position, advancing the needle craniocaudally using the in-plane technique. 23 However, the outplane technique in the parasagittal plane later became another popular technique for lumbar ESPB. 24 Considering that lumbar ESPB requires deeper needle insertion when compared to thoracic ESPB, it is inevitable that different techniques are required.…”
Section: Approaches Sonography and Technical Featuresmentioning
confidence: 99%
“…For the lumbar region, ESPB was first described in hip surgery in the lateral position, advancing the needle craniocaudally using the in-plane technique. 23 However, the outplane technique in the parasagittal plane later became another popular technique for lumbar ESPB. 24 Considering that lumbar ESPB requires deeper needle insertion when compared to thoracic ESPB, it is inevitable that different techniques are required.…”
Section: Approaches Sonography and Technical Featuresmentioning
confidence: 99%
“…Since the first published articles about ESP block at lumbar level [24,5] Kose et al reported that there are several anatomic, sonographic and application differences between ESP block at thoracic or lumbar level [25]. The rigid boundaries of the paravertebral spaces at thoracic level makes that the spread of even small volumes of LA in thoracic ESP block, effects both the ventral and dorsal rami in several levels, leading to multilevel analgesia.…”
Section: Mechanism Of Actionmentioning
confidence: 99%
“…At lumbar level the ESP block has been also applied as part of multimodal analgesia in a case of transverse process fracture [24]. Tulgar et al also suggested that ESP block performed at L4 level could be as effective as epidural analgesia in total hip arthroplasty [24].…”
Section: Lumbar Levelmentioning
confidence: 99%
“…At our institution, we regularly utilize the thoracic ESPB as a component of our regional anesthesia pain service for both chest and abdominal surgeries. More recently, the lumbar ESPB has been described for abdominal surgeries, prostatectomy, lumbar spine surgery, total hip arthroplasty, and proximal femur surgery [7][8][9][10][11][12].…”
Section: Introductionmentioning
confidence: 99%