Regional Anesthesia & Pain Medicine· 2016Q1
The Erector Spinae Plane Block
- 2,156citations
- Q1SCImago
- 2016year
Short summary
A novel erector spinae plane (ESP) block successfully treated severe neuropathic thoracic pain in two patients, producing extensive multidermatomal sensory block.
AI-generated from the title and abstract; the full text is not read.
Key points
- The erector spinae plane (ESP) block is a novel technique for thoracic analgesia.
- It was successfully used in two patients with severe neuropathic thoracic pain.
- The block resulted in an extensive multidermatomal sensory block.
- Anatomical studies suggest action on dorsal and ventral rami of thoracic spinal nerves.
AI-generated from the title and abstract; the full text is not read.
Abstract
Thoracic neuropathic pain is a debilitating condition that is often poorly responsive to oral and topical pharmacotherapy. The benefit of interventional nerve block procedures is unclear due to a paucity of evidence and the invasiveness of the described techniques. In this report, we describe a novel interfascial plane block, the erector spinae plane (ESP) block, and its successful application in 2 cases of severe neuropathic pain (the first resulting from metastatic disease of the ribs, and the second from malunion of multiple rib fractures). In both cases, the ESP block also produced an extensive multidermatomal sensory block. Anatomical and radiological investigation in fresh cadavers indicates that its likely site of action is at the dorsal and ventral rami of the thoracic spinal nerves. The ESP block holds promise as a simple and safe technique for thoracic analgesia in both chronic neuropathic pain as well as acute postsurgical or posttraumatic pain.
The authors' abstract, as published at the source. Regional Anesthesia & Pain Medicine, 2016 · DOI ↗
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Field: Surgery
SurgeryMedicine