Utility of erector spinae plane block in a complex scapular resection

Comparison of erector spinae plane block and local anaesthetic infiltration of the incision site for postoperative analgesia in percutaneous nephrolithotomy - A randomised parallel-group study

“…ESPB has been used in various contexts like in the emergency room for analgesia following rib fractures, intraoperative and postoperative analgesia following laparotomy, laparoscopic cholecystectomy, breast surgery, scapula resection, thoracotomy, sternotomy and chronic pain. [ 7 10 11 12 13 14 15 16 ] Though the mechanism of action is still not fully understood, it has been demonstrated in cadaveric and in vivo studies that one of the prime mechanisms is by drug penetration into the paravertebral region. [ 17 18 19 ] A study by Ivanusic et al ., 20 failed to demonstrate any spread into the paravertebral space.…”