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Journal articles on the topic 'ESP block'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Elsharkawy, Hesham, Gausan Ratna Bajracharya, Kariem El-Boghdadly, Richard L. Drake, and Edward R. Mariano. "Comparing two posterior quadratus lumborum block approaches with low thoracic erector spinae plane block: an anatomic study." Regional Anesthesia & Pain Medicine 44, no. 5 (2019): 549–55. http://dx.doi.org/10.1136/rapm-2018-100147.

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Background and objectivesBoth posterior quadratus lumborum (QL) and erector spinae plane (ESP) blocks have been described as new truncal interfascial plane blocks. Distribution of injectate is influenced by fascial anatomy; therefore, different injection sites may produce similar spread. This anatomic study was designed to test the hypothesis that a posteromedial QL block at L2 level will more closely resemble a low thoracic ESP block when compared with the posterolateral approach at L2 level.MethodsLeft-sided ESP blocks were performed in six cadavers at T10–11. Three of these cadavers receive

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2

Rajeev, Kumar, Kumar Manoj, and Ansari Furkan. "Deep versus Superficial Erector Spinae Block for Modified Radical Mastectomy: A Randomized Controlled Pilot Study." International Journal of Pharmaceutical and Clinical Research 16, no. 4 (2024): 1364–67. https://doi.org/10.5281/zenodo.13622998.

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In 50 female patients having modified radical mastectomy at AIIMS, New Delhi, this pilot study evaluated the analgesic effectiveness of deep versus superficial erector spinae plane (ESP) blocks. The outcomes demonstrated that, in comparison to the superficial ESP block, the deep ESP block significantly enhanced postoperative pain management by decreasing pain scores, consuming fewer opioids, delaying the need for further analgesia, and improving patient satisfaction. These results imply that the local anaesthetic may be positioned deeper within the ESP block to improve postoperative pain manag

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3

George, Deepa, and Nanna Ramachandran. "A Clinical Study to Assess the Efficacy of Erector Spinae Plane Block for Postoperative Analgesia after Modified Radical Mastectomy in a Tertiary Health Care Centre." Journal of Evolution of Medical and Dental Sciences 11, no. 2 (2022): 380–85. http://dx.doi.org/10.14260/jemds/2022/73.

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BACKGROUND Interfascial blocks like erector spinae plane block (ESP block) are relatively easy to perform and have potentially low risk profile. This study wanted to assess the efficacy of ultrasound guided ESP block for postoperative analgesia after modified radical mastectomy (MRM) as compared to conventional technique of surgical wound infiltration with local anaesthetic. The primary objective of the study was to assess the duration of postoperative analgesia. METHODS After obtaining institutional ethics committee clearance, a total of 26 females posted for MRM were randomly allocated into

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Hinson, Chandler S., Hallie Masters, MengJie Hu, Benjamin Michaels, Matthew Beyers, and Ronald M. Brooks. "Addition of Erector Spinae Nerve Block Effect on Opioid Use and Pain Levels in Reduction Mammoplasty." Plastic and Reconstructive Surgery - Global Open 13, no. 6 (2025): e6900. https://doi.org/10.1097/gox.0000000000006900.

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Background: Macromastia causes significant physical and emotional distress. Reduction mammoplasty often requires opioid analgesia. This study compared the efficacy of combining an erector spinae plane (ESP) block with a field block of long-acting bupivacaine (LLAB) versus LLAB alone in managing pain and opioid use during breast reduction surgery. Methods: We conducted a retrospective review of breast reduction patients from March 2021 to March 2022 at an academic center. The variables included specimen weights, liposuction volume, opioid use (standardized to morphine milligram equivalents [MME

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5

Ghielmini, Enea M. "Erector Spinae Plane Block versus Transversus Abdominis Plane Block for Robotic Inguinal Hernia Repair: A Blinded, Active-Controlled, Randomized Trial." Pain Physician Journal 27, no. 1 (2024): 27–34. http://dx.doi.org/10.36076/ppj.2024.27.27.

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BACKGROUND: Regional anesthetic nerve blocks are widely used in the treatment of pain after outpatient surgery to reduce opioid consumption. Erector spinae plane (ESP) block is a recently described technique with promising results in different scenarios. OBJECTIVES: To compare ESP block efficacy with the commonly used transversus abdominis plane (TAP) block in patients undergoing robot-assisted inguinal hernia repair. STUDY DESIGN: This was a randomized, blinded, active controlled, superiority trial with 2 parallel groups. The study was approved by the local ethics committee. Registration took

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Sagar, Nana More, Agarwal Anoop, and Patel Bhavin. "Effect of Analgesia Induced by Erector Spinae Plane Block versus Transversus Abdominis Plane Block Post Elective Lower Segment Caesarean Section: A Comparative Analysis." International Journal of Toxicological and Pharmacological Research 13, no. 10 (2023): 66–69. https://doi.org/10.5281/zenodo.11056472.

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<strong>Introduction:</strong> This research investigated the anelgesic effectiveness of bi-lateral transversus abdominis plane (TAP) & bi-lateral erector spinae plane (ESP) blocks following elective lower segment cesarean section. <strong>Material & Methods:</strong> 120 subjects planned for spinal anaesthesia-induced elective cesarean deliveries were arbitrarily allotted to undergo either an ESP-block or a TAP-block. At the conclusion of surgery, the ESP category received an ESP-block with 20 mL of 0.25% bupivacaine at the level of the ninth thoracic transverse process

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7

Şahin, Ayhan, and Onur Baran. "Effect of ultrasound-guided erector spinae plane block on post-surgical pain in patients undergoing nephrectomy: a single-center, randomized, double-blind, controlled trial." Journal of International Medical Research 50, no. 3 (2022): 030006052210867. http://dx.doi.org/10.1177/03000605221086737.

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Objective Erector spinae plane (ESP) block is an alternative to neuraxial block for post-surgical pain in nephrectomy patients. However, no clinical trial has directly compared ESP block with a control group. Methods In a single-center, double-blind randomized comparative trial, patients undergoing nephrectomy with a subcostal flank incision under general anesthesia were divided into the following two groups: ESP block group (ESP block before anesthesia) and non-ESP (control) group (no intervention). The primary outcome measure was pain score (Numeric Rating Scale [NRS] 0 to 10). Secondary out

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8

Tavianto, D., O. M. Pison, and Azka Putra Rakhmatullah. "Evaluation of postoperative pain on Transversus Abdominis Plane block and Erector Spinae Plane block in patients undergoing gynecological surgery: a prospective, comparative study." Annals of Critical Care, no. 4 (October 30, 2024): 104–14. http://dx.doi.org/10.21320/1818-474x-2024-4-104-114.

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INTRODUCTION: Moderate to severe pain after gynecological surgery has an impact on postoperative recovery and mobilization. Transversus Abdominis Plane (TAP) block and Erector Spinae Plane (ESP) block have been used as multimodal analgesia for abdominal surgery. OBJECTIVES: This study aims to compare postoperative pain in patients undergoing either ESP blocks or TAP blocks, and the need for postoperative morphine in patients undergoing gynecological surgery.MATERIALS AND METHODS: This was a single-center, prospective, double-arm, comparative study. Forty subjects were enrolled in this study, a

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9

Nalbant, Burak, Asli Donmez, Savas Altinsoy, and Fatma Kavak Akelma. "Efficacy of OSTAP, ESP block, trocar site local anesthetic injection in elective laparoscopic cholecystectomy: A randomized controlled trial." Medicine 104, no. 31 (2025): e43607. https://doi.org/10.1097/md.0000000000043607.

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Background: Effective postoperative pain control remains a clinical challenge in laparoscopic cholecystectomy (LC). Regional anesthesia techniques such as the erector spinae plane (ESP) block and the oblique subcostal transversus abdominis plane (OSTAP) block have gained popularity as potential alternatives to traditional analgesic methods. This double-blind, randomized controlled trial aimed to compare the analgesic efficacy of ESP block, OSTAP block, and trocar site local anesthetic (LA) infiltration in terms of postoperative pain scores and opioid consumption in patients undergoing LC. Meth

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10

Hasnain, Fahad, Munim Saeed, Syed Qasim Ali Shah, Sajjad Qureshi, Muhammad Mohsin Riaz, and Muhammad Huzaifa Shareef. "Efficacy of Erector Spinae Block Versus Transversus Abdominis Plane Block in Post Operative Pain Control After Laparoscopic Cholecystectom." Pakistan Armed Forces Medical Journal 75, no. 2 (2025): 277–80. https://doi.org/10.51253/pafmj.v75i2.9456.

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Objective: To compare post-operative analgesic efficacy of ultrasound guided erector spinae block versus transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Rawalpindi Pakistan, from May to Oct 2022. Methodology: Our patients were divided into erector spinae block Group (Group ESP) (n=20) and transversus abdominis plane block Group (Group TAP) (n=20). After the surgery, before extubating, a consultant anesthetist with at least 5 years of

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Küçük, Onur, Fatih Sağ, Ali Eyrice, Selman Karadayı, Ali Alagöz, and Alkin Çolak. "Comparison of the Analgesic Effect of Pericapsular Nerve Group Block and Lumbar Erector Spinae Plane Block in Elective Hip Surgery." Medicina 60, no. 5 (2024): 799. http://dx.doi.org/10.3390/medicina60050799.

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Background and Objectives: The aim of this study was to compare the effectiveness of pericapsular nerve group (PENG) and lumbar erector spinae plane (L-ESP) blocks, both administered with a high volume (40 mL) of local anesthetic (LA), for multimodal postoperative analgesia in patients undergoing hip surgery. Materials and Methods: This was a prospective, double-blind, randomized study that included 75 adult patients who were divided into three equal groups: control, PENG, and L-ESP. The study compared pain intensity, morphine consumption, time to first morphine request, and postoperative sati

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12

De Cassai, Alessandro, Alessandra Fasolo, Federico Geraldini, and Marina Munari. "Motor block following bilateral ESP block." Journal of Clinical Anesthesia 60 (March 2020): 23. http://dx.doi.org/10.1016/j.jclinane.2019.08.029.

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13

Kurra, Rahul, Ravi Madhusudhana, and Sumanth T. "Erector Spinae Block for thoracic Trauma." Indian Journal of Anesthesia and Analgesia 9, no. 3 (2022): 137–39. http://dx.doi.org/10.21088/ijaa.2349.8471.9322.13.

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Introduction: Anesthesiologists face a difficult task in managing pain in trauma patients with acute rib and spine fractures, and attaining appropriate analgesia is critical in minimizing pulmonary consequences. Erector spinae plane (ESP) blocks are a type of localized anaesthetic that can be used to treat pain. Case Report: After falling off his bike, a 42-year-old man suffered several rib and spine fractures. His injuries included fractures of the D4, D5, D8, D11, and D12 vertebral bodies, as well as fractures of the pedicle and spinous process of the D7 and D9 vertebrae, as well as comminut

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14

Harbell, Monica W., David P. Seamans, Veerandra Koyyalamudi, Molly B. Kraus, Ryan C. Craner, and Natalie R. Langley. "Evaluating the extent of lumbar erector spinae plane block: an anatomical study." Regional Anesthesia & Pain Medicine 45, no. 8 (2020): 640–44. http://dx.doi.org/10.1136/rapm-2020-101523.

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Background and objectivesThe erector spinae plane (ESP) block is a relatively new interfascial block technique. Previous cadaveric studies have shown extensive cephalocaudal spread with a single ESP injection at the thoracic level. However, little data exist for lumbar ESP block. The objective of this study was to examine the anatomical spread of dye following an ultrasound-guided lumbar ESP block in a human cadaveric model.MethodsAn ultrasound-guided ESP block was performed in unembalmed human cadavers using an in-plane approach with a curvilinear transducer oriented longitudinally. 20 mL of

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Piangatelli, Cristiano, Enrico Dalla Bona, Diego Tavoletti, et al. "Continuous erector spinae plane block for pain management in laparoscopic liver resection: case report." Colombian Journal of Anesthesiology 48, no. 3 (2020): 164–68. http://dx.doi.org/10.1097/cj9.0000000000000167.

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Pain after liver resection can be difficult to manage. Epidural anesthesia (EA) isaneffective technique inpain control inthis surgery. However, postoperative coagulopathy and hypotension due to autonomic nervous system block in high-risk patients, may result that the EA is an inadequate analgesic technique in according to enhanced recovery after surgery (ERAS) recommendations for liver surgery. Regional block techniques have been recommended for liver surgery in ERAS guidelines. Erector spinae plane (ESP) block is a recent block described for thoracic and abdominal surgeries

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Rama, Krishna Nelakurthi, and Kumar V. S. Vinod. "Comparison of Intravenous Morphine to Unilateral Erector Spine Block in Postoperative Analgesia following Percutaneous Nephrolithotomy." International Journal of Toxicological and Pharmacological Research 12, no. 11 (2022): 143–48. https://doi.org/10.5281/zenodo.11423236.

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<strong>Background:</strong> Acute postoperative pain is recently seen following PCNL where an ultrasound-guided block can be advantageous which manages pain along with reduced complication risks and better nerve visualization. Analgesic after PCNL can be delivered with ESP block without severe side effects. <strong>Aim:</strong> To comparatively assess the safety and efficacy of ultrasound-guided ESP block at the T8 level for intraoperative and postoperative analgesia in subjects undergoing PCNL (percutaneous nephrolithotomy) surgeries. <strong>Methods:</strong> 120 s

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Mostafa, Tarek A. H., Amany F. Omara, and Naglaa K. Khalil. "Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study." Indian Journal of Anaesthesia 68, no. 7 (2024): 616–22. http://dx.doi.org/10.4103/ija.ija_867_23.

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Background and Aims: Postoperative pain after hip surgeries in children could be classified as severe, requiring combined intra- and postoperative opioid analgesia with regional blocks. This study was carried out to investigate ultrasound-guided pericapsular nerve group (PENG) block versus ultrasound-guided erector spinae plane (ESP) block for pain management after paediatric hip surgery. The primary objective was to assess the time of the first request for morphine rescue analgesia. Methods: In this randomised study, 56 children scheduled for elective unilateral hip surgery were distributed r

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18

Forero, Mauricio, Manikandan Rajarathinam, Sanjib Adhikary, and Ki Jinn Chin. "Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: A case series." Scandinavian Journal of Pain 17, no. 1 (2017): 325–29. http://dx.doi.org/10.1016/j.sjpain.2017.08.013.

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AbstractBackground and aimsPost thoracotomy pain syndrome (PTPS) remains a common complication of thoracic surgery with significant impact on patients’ quality of life. Management usually involves a mul¬tidisciplinary approach that includes oral and topical analgesics, performing appropriate interventional techniques, and coordinating additional care such as physiotherapy, psychotherapy and rehabilitation. A variety of interventional procedures have been described to treat PTPS that is inadequately managed with systemic or topical analgesics. Most of these procedures are technically complex an

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Kangle, Sameer, Ujjwalraj Dudhedia, Amol Shashikumar Pradhan, and Abhijit Sukumaran Nair. "Prospective comparative analysis of intraoperative and postoperative anesthetic and analgesic effect of ultrasound-guided pectoral with serratus anterior plane block versus thoracic paravertebral versus erector spinae blocks in breast oncosurgeries." Indian Anaesthetists Forum 24, no. 2 (2023): 96–102. http://dx.doi.org/10.4103/theiaforum.theiaforum_39_23.

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Abstract Aims and Objectives: Different regional anesthetic techniques have been described and are frequently used in breast cancer surgeries to provide efficient pain management and reduce the use of opioids. This study’s main goal was to use pain scores to compare the postoperative analgesic effectiveness of pectoral nerve (PECS 1) block with serratus anterior plane (SAP) block, thoracic paravertebral (TPV) block, and erector spinae plane (ESP) block. Comparing the needs for intraoperative analgesia and postoperative anesthesia was one of the secondary goals. Methods: After institutional eth

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Akhlagh, Seyed Amirreza, Arash Farbood, Mahsa Tahvili, et al. "Assessment of Analgesic Efficacy of Bilateral Lumbar Erector Spinae Plane Block for Postoperative Pain following Lumbar Laminectomy: A Single-Blind, Randomized Clinical Trial." Pain Research and Management 2023 (December 28, 2023): 1–8. http://dx.doi.org/10.1155/2023/5813798.

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Background. The erector spinae plane (ESP) block is a novel approach to minimizing postoperative pain. We investigated the efficacy and side effects of the ultrasonography-guided bilateral ESP block in reducing pain in the first 24 hours after lumbar laminectomy. Materials and Methods. We conducted a single-blind (statistical analyst and those responsible for recording patient information postoperation were unaware of the study groups) randomized clinical trial on 50 patients aged 18 to 65 with American Society of Anesthesiology (ASA) class I or II physical status scheduled for lumbar laminect

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Kamel, Alshaimaa Abdel Fattah. "Bilateral Ultrasound-Guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block on Postoperative Analgesia after Total Abdominal Hysterectomy." Pain Physician 4;23, no. 7;4 (2020): 375–82. http://dx.doi.org/10.36076/ppj.2020/23/375.

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Background: Transversus abdominis plane (TAP) blocks provide postoperative pain relief after various abdominal surgeries. Recently, erector spinae plane (ESP) block has obtained vast attention due to its simplicity and usage in truncal procedures. Objectives: This study aims to compare the ultrasound-guided bilateral ESP block versus bilateral TAP block on postoperative analgesia after open total abdominal hysterectomy. Study Design: A prospective, double-blinded, randomized, controlled, clinical trial. Setting: Zagazig University Hospitals. Methods: After ending of surgical procedure and befo

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Lagdani, Mouad, Youssef Elouardi, and Mohamed Khallouki. "Erector Spinae Plane Block for Different Abdominal Surgeries: Case Series." Scholars Journal of Applied Medical Sciences 9, no. 9 (2021): 1424–26. http://dx.doi.org/10.36347/sjams.2021.v09i09.021.

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The ultrasound guided erector spinae plane (ESP) block is a recent block described for various surgeries for postoperative analgesia. ESP block has effect on both visceral and somatic pain; therefore, its use in laparoscopic cholecystectomy and other abdominal surgeries can be advantageous. The technique is considered a quality standard because it provides good control of the anticipated pain. The local anesthetic is injected between the erector spinae muscle and the transverse process and it spreads cranially and caudally into the paravertebral space, affecting the ventral and dorsal branches

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Ganert, A. N., P. A. Lyuboshevskiy, and D. A. Sokolov. "Regional blockage as a component of reduced mammoplasty multimodal pain relief." Patient-Oriented Medicine and Pharmacy 2, no. 4 (2025): 45–52. https://doi.org/10.37489/2949-1924-0067.

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Relevance. Postoperative pain management remains poorly understood. Analgesics traditionally used to treat postoperative pain have numerous side effects. The optimal method for preventing postoperative pain is based on the principle of multimodality, where in addition to the use of analgesics with different application points, regional blockades are applied. In chest wall surgery, blockage of the thoracic nerves (PEC block) and the space of the muscles of the spine straightener (ESP block) under ultrasound control are gaining popularity.Objective. We compared the analgesic efficiency of PEC bl

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Gavrykov, O. Y., V. I. Kupin, and V. I. Kolomachenko. "Comparison of the efficiency of the remote approaches for analgesia after total hip arthroplasty." EMERGENCY MEDICINE 19, no. 4 (2023): 234–40. http://dx.doi.org/10.22141/2224-0586.19.4.2023.1590.

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Background. Recently, two blocks have been proposed: one of which is the most proximal and is called the erector spinae plane (ESP) block, the other is the most distal and is called pericapsular nerve group (PENG) block. Both techniques are performed under ultrasound control, are positioned as effective and safe, without muscle weakness. The purpose of the work: to evaluate the clinical effectiveness of the most remote approaches (ESP and PENG) for anesthesia in terms of the adequacy of analgesia and physical activity of patients after hip arthroplasty. Materials and methods. The study include

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Bach, Karen, Olufunke Dada, and Nitin Goyal. "Erector Spinae Plane Block for Intercostal Pain related to Cervical Spinal Cord Ependymoma: A Case Report." Pain Medicine Case Reports 6, no. 1 (2022): 13–15. http://dx.doi.org/10.36076/pmcr.2022.6.13.

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BACKGROUND: The erector spinae plane (ESP) block is a relatively novel technique in the field of regional anesthesia and pain management. In the original 2016 case report by Forero et al, the ESP block demonstrated extensive neuropathic pain relief of thoracic origins. Although ESP blocks have proven to be a useful modality for managing perioperative, postoperative, and chronic refractory pain of the thoracoabdominal region, its use indication regarding pain therapy of the cervical region has not yet been clearly elucidated. CASE REPORT: A 50-year-old woman with a history of intercostal neural

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Ozdemir, C., B. Isik, and O. Kurtipek. "Analgesic Efficacy of Erector Spinae Plane Block in Pediatric Abdominal Surgery: Guidance with Conventional Method and NOL: Case Series." Nigerian Journal of Clinical Practice 26, no. 6 (2023): 779–86. http://dx.doi.org/10.4103/njcp.njcp_754_22.

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ABSTRACT Background: Erector spinae plane (ESP) block is a regional anesthesia technique that blocks both somatic and visceral nerve fibers. Despite its high analgesic potential, its mechanism of action is not yet fully understood. The ultrasound-guided ESP block, which can be easily performed, makes important contributions to the control of intraoperative pain in pediatric patients undergoing abdominal surgery. The follow-up of pain in the intraoperative period is usually done by evaluating the changes in hemodynamic parameters. Due to physiological differences in pediatric patients, it is mo

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Tulgar, Serkan, Onur Selvi, and Mahmut Sertan Kapakli. "Erector Spinae Plane Block for Different Laparoscopic Abdominal Surgeries: Case Series." Case Reports in Anesthesiology 2018 (2018): 1–3. http://dx.doi.org/10.1155/2018/3947281.

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The ultrasound guided erector spinae plane (ESP) block is a recent block described for various surgeries for postoperative analgesia. ESP block has effect on both visceral and somatic pain; therefore, its use in laparoscopic cholecystectomy and other abdominal surgeries can be advantageous. We describe successful ESP block application in three different cases for postoperative pain. Two patient were operated on using endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy and one patient was operated on using laparoscopic cholecystectomy together with the inguinal herni

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Umar Hameed, Ali Rehman, Muhammad Mohamin, and Muhammad Qasim Ali. "Comparison of Pectoral Nerve Block (II) And Erector Spinae Block for Postoperative Analgesia Following Breast Surgeries." Indus Journal of Bioscience Research 3, no. 2 (2025): 544–48. https://doi.org/10.70749/ijbr.v3i2.670.

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Introduction: Effective postoperative pain management is essential in breast cancer surgeries to enhance recovery and reduce opioid-related side effects. Regional anesthesia techniques, such as the Pectoral Nerve Block (PECS-II) and Erector Spinae Plane (ESP) Block, have been used as opioid-sparing strategies. However, comparative data on their efficacy remain limited. This study aimed to evaluate and compare the analgesic effectiveness of PECS-II and ESP blocks in postoperative pain control, opioid consumption, and time to first analgesic requirement in patients undergoing breast surgery. Met

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Zhikharev, Vasiliy A., Alexandr S. Bushuev, Victor A. Koriachkin, Vladimir A. Porkhanov, and Vladimir A. Glushchenko. "Comparative characteristics of regional anesthesia methods in thoracic surgery: randomized, prospective, open-label, controlled trial." Regional Anesthesia and Acute Pain Management 16, no. 4 (2023): 267–78. http://dx.doi.org/10.17816/ra111851.

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OBJECTIVE: To compare and analyze the effectiveness of regional anesthesia methods in thoracic surgery. MATERIALS AND METHODS: A total of 150 patients were examined, 75 each underwent thoracotomy and surgery with video-assisted thoracoscopic surgery (VATS) access. Depending on the type of regional anesthesia, patients were divided into one of these five groups: epidural blockade (EB) group (n=30), paravertebral blockade (PVB) group (n=30), erector spinae plane (ESP) block group (n=30), serratus anterior plane (SAP) block group (n=30), and control (group 5, only systemic anesthesia was us

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Bhinde, Kuber Jignesh, Lalit Gupta, and Kirti Nath Saxena. "Enhanced Recovery with Erector Spinae Plane Block in Hepatobiliary Surgeries: A Case Series." Clinical Imaging and Case Reports 12, no. 1 (2025): 1–6. https://doi.org/10.52338/cicasrep.2025.4964.

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Introduction : The erector spinae plane (ESP) block is a novel technique for post-operative pain management in abdominal surgery. Perioperative analgesia provision is an essential component of ERAS (Enhancing Recovery after Surgery) pathways, which aim to improve recovery, reduce opioid consumption, and facilitate early mobilization. This case series demonstrates the utility of the ESP block in improving pain control and enhancing recovery in hepatobiliary surgeries, specifically in reducing post-operative pain, opioid consumption, and promoting early functional recovery. Case Reports : This c

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Akyüz, Mahmut Berk, Ekin Koselerli, Yusuf Kahya, and Çigdem Yildirim Güclü. "Beyond ESP Block : Bilateral Continuous ESP Block in Analgesia of Rib Fracture - Case Report." Journal of Cardiothoracic and Vascular Anesthesia 38, no. 12 (2024): 82. http://dx.doi.org/10.1053/j.jvca.2024.09.126.

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Zhang, Jian-Guo, Chen-Wei Jiang, Wei Deng, Fen Liu, and Xiao-Ping Wu. "Comparison of Rhomboid Intercostal Block, Erector Spinae Plane Block, and Serratus Plane Block on Analgesia for Video-Assisted Thoracic Surgery: A Prospective, Randomized, Controlled Trial." International Journal of Clinical Practice 2022 (June 23, 2022): 1–9. http://dx.doi.org/10.1155/2022/6924489.

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Background. Thoracic surgery is one of the most painful surgical steps. An important tool for managing postoperative pain is effective postoperative analgesia. This research aimed at comparing the analgesic roles of three new fascial block techniques in the postoperative period after video-helped thoracoscopic operation (VATS). Methods. We randomly allocated ninety patients into three teams experiencing ultrasound-directed serratus plane block, erector spinae plane block, and the rhomboid intercostal block, respectively. 0.4% ropivacaine of 20 mL was received by all groups. Outcomes. At 0–12 h

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Cadavid, Adriana. "Evaluation of Sensory Mapping of Erector Spinae Plane Block." Pain Physician 3;23, no. 6;3 (2020): E285—E295. http://dx.doi.org/10.36076/ppj.2020/23/e285.

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Background: Erector spinae plane (ESP) block is an effective regional analgesic technique for thoracic and abdominal pain. The volume of local anesthetic (LA) needed to produce sensory block in the spinal segment is unknown. Objectives: The aim of the present study was to examine the extent of dermatomal spread following ultrasound-guided administration of ESP block, with a fixed-volume dose of a LA at the midthoracic area for analgesia in acute thoracic pain patients. Secondary objectives were postprocedure analgesia and patient satisfaction. Study Design: This research used a prospective uni

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Marrone, Francesco, Tommaso Sorrentino, Pierfrancesco Fusco, Carmine Pullano, and Sandeep Diwan. "Continuous Sacral Erector Spinae Plane Block for Posthysterectomy Analgesia: A Case Report and Magnetic Resonance Imaging Study." A&A Practice 19, no. 6 (2025): e01990. https://doi.org/10.1213/xaa.0000000000001990.

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This case report presents the successful use of the continuous sacral erector spinae plane (ESP) block in 2 patients who underwent open hysterectomy under spinal anesthesia and benefited from prolonged postoperative analgesia without motor block or side effects. Postoperatively, a magnetic resonance imaging study was conducted, highlighting the anterior and cranial spread of the local anesthetic after continuous infusion from a sacral ESP catheter, contributing to a better understanding of the mechanism of action of the sacral ESP block.

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Shah, Hetalkumar. "Abstract No.: ABS0615: Anaesthesia management of bilateral bronchopleural fistula for repair." Indian Journal of Anaesthesia 66, Suppl 1 (2022): S46. http://dx.doi.org/10.4103/0019-5049.340689.

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Background and Aims: Bronchopleural fistula (BPF) poses ventilatory challenges during general anaesthesia (GA). Without repair of large BPF, patient’s condition is unlikely to improve. Hence thoracic surgery in these patient is a challenging task. Coronavirus disease 2019 (COVID-19) pandemic, has caused immense morbidityincluding pulmonary sequelae pulmonary complications such as BPF. Perioperative strategies included to maintaining adequate ventilation and haemodynamics. Methods: We present anaesthesia management of five cases, who developed bilateral significant BPF as post COVID-19 sequelae

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Morunova, Anna Yu, Anna A. Ezhevskaya, Tatyana O. Andrianova, and Andrey E. Bokov. "Towards the efficacy of erector spinae plane block in lumbar spinal fusion." Regional Anesthesia and Acute Pain Management 16, no. 2 (2022): 139–49. http://dx.doi.org/10.17816/1993-6508-2022-16-1-139-149.

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AIM: This study aimed to assess the efficacy and safety of the erector spinae plane block (ESP-block) in lumbar spinal fusion in the perioperative period. MATERIALS AND METHODS: This prospective randomized study included 200 patients aged 4565 years undergoing decompression and lumbar spinal fusion. All the patients were divided into three groups depending on the anesthesia method. The first group received general anesthesia in combination with a single bilateral ESP-block; the second group received general anesthesia in combination with a prolonged bilateral ESP-block; the third (or, co

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Marrone, Francesco, Simone Failli, Fabio Fabbri, et al. "Erector Spinae Plane Block Together With Inter-Transverse Process Block for Open Gastrectomy: Case Report." A&A Practice 19, no. 2 (2025): e01918. https://doi.org/10.1213/xaa.0000000000001918.

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Fascial plane blocks of the posterior thoracic wall (erector spinae plane [ESP] and intertransverse plane [ITP]) may offer advantages for high-risk patients requiring open abdominal surgery in whom thoracic epidural analgesia (TEA) combined with general anesthesia (GA) may be relatively contraindicated. As a primary anesthesia method, ESP/ITP (paravertebral by proxy) blocks proved effective in a case of open gastrectomy by avoiding airway intervention, mechanical ventilation, and effectively managing visceral pain. This article highlights the use of ESP/ITP blocks in a high-risk patient for wh

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Mantuani, Daniel, Josh Luftig, Andrew Herring, Andrea Dreyfuss, and Arun Nagdev. "A Novel Technique to Reduce Reliance on Opioids for Analgesia from Acute Appendicitis: The Ultrasound-guided Erector Spinae Plane Block." Clinical Practice and Cases in Emergency Medicine 3, no. 3 (2019): 248–51. http://dx.doi.org/10.5811/cpcem.2019.4.42117.

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Single injection, ultrasound-guided nerve blocks have drastically changed the multimodal approach to pain management of the acutely injured patient in the emergency department (ED). Ultrasound-guided femoral nerve blocks in the ED have become standard aspects of multiple, hospital system pain management protocols, with early evidence demonstrating improved patient outcomes. Developing a multimodal pain management strategy can improve analgesia while reducing reliance on opioids in this era of opioid addiction.1 The single injection, ultrasound-guided erector spinae plane (ESP) block is a techn

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Kamath, Manjunath R., Alok Gopal Belgaumkar, and Harish B G. "Opioid sparing effect of ultrasound-guided continuous bilateral erector spinae plane block in cardiac surgery requiring sternotomy: A cross-sectional observational study." Indian Journal of Clinical Anaesthesia 12, no. 1 (2025): 80–86. https://doi.org/10.18231/j.ijca.2025.012.

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The erector spinae plane (ESP) block is mostly used to relieve pain in people who have had breast surgery. The block is now being used in cardiac surgery. Because sternotomy discomfort is severe, individuals undergoing this require multimodal analgesia. The ESP block has recently become popular in cardiac anaesthesia, necessitating the study.To determine the efficacy of ESP block in reducing the opioid requirement for postoperative analgesia in cardiac surgeriesThe study enrolled 66 people who were having heart surgery between January-2020 to December-2021; that required a median sternotomy. T

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De Cassai, Alessandro, Claudio Bonanno, Roberto Padrini, et al. "Pharmacokinetics of lidocaine after bilateral ESP block." Regional Anesthesia & Pain Medicine 46, no. 1 (2020): 86–89. http://dx.doi.org/10.1136/rapm-2020-101718.

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IntroductionErector spinae plane (ESP) block is an emerging interfascial block with a wide range of indications for perioperative analgesia and chronic pain treatment. Recent studies have focused their attention on mechanisms of action of ESP block. However, the pharmacokinetics of drugs injected in ESP is, as of now, uninvestigated. The aim of this brief report is to investigate the pharmacokinetics of lidocaine in a series of 10 patients.MethodsWe are reporting a case series of 10 patients undergoing bilateral ESP block for multilevel lumbar spine surgery.ESP was performed with 3.5 mg/kg of

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Morunova, A. Yu, and Anna A. Ezhevskaya. "Analgesic efficacy and safety of regional anesthesia methods in the perioperative period of surgical treatment of unstable spinal fractures: a randomized study." Annals of Critical Care, no. 1 (January 27, 2024): 124–34. http://dx.doi.org/10.21320/1818-474x-2024-1-124-134.

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INTRODUCTION: Perioperative anesthesia in spinal surgery is important areas of anesthesiology. Comparison of spine-straightening muscle block (Erector spinae plane block, ESP block) and epidural anesthesia (EA) during spinal surgery may access its effectiveness and safety. OBJECTIVE: To evaluate the efficacy and safety of a single and extended ESP block compared with epidural analgesia in the perioperative period of treatment of unstable vertebral fractures. MATERIALS AND METHODS: A prospective trial involved 110 patients. Three groups of patients were identified: group 1 (n = 35) — with bonus

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Özen, Volkan, Engin İhsan Turan, Taylan Kirdan, Tahir Arda Ayas, Ela Erten, and Serap Karacalar. "Erector spinae plane block as an alternative to caudal block in concurrent pediatric urologic and inguinal surgery: A double-blinded randomized controlled trial." Medicine 104, no. 15 (2025): e42109. https://doi.org/10.1097/md.0000000000042109.

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Background: The objective of this study is to evaluate and compare the analgesic effect of ultrasound (US)-guided a high-volume bilateral erector spinae plane (ESP) block with that of US-guided caudal block (CB) in these surgeries. Methods: This prospective, randomized, double-blind study was conducted with 60 male patients, aged 1 to 7 years, who underwent lower abdominal surgery and circumcision concurrently. The patients were randomized into 2 groups: ESP and CB. US-guided ESP block at the L4 vertebral level was performed preoperatively using 1 mL/kg 0.125% bupivacaine (maximum of 20 mL), w

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Majage, Siddhavivek, Rajathadri Hosur Ravikumar, Mrudula Prasanna, M. Chandramouli, Priyankar Kumar Datta, and Dalim Kumar Baidya. "Comparison of efficacy of ultrasound-guided erector spinae plane block versus thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: A systematic review and trial sequential meta-analysis." Indian Journal of Anaesthesia 68, no. 9 (2024): 752–61. http://dx.doi.org/10.4103/ija.ija_373_24.

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Background and Aims: Existing literature does not establish the superiority of the erector spinae plane (ESP) block or the thoracolumbar interfascial plane (TLIP) block in pain relief and reducing opioid consumption in lumbar spine surgeries. This systematic review and meta-analysis was aimed to discern their relative efficacy and safety. Methods: This meta-analysis included randomised controlled trials (RCTs) comparing ESP and TLIP blocks in lumbar spine surgeries. The primary outcome was 24-h opioid consumption, and secondary outcomes were visual analogue scale (VAS) scores at 1 h and 24 h a

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Mudarth, Mark, Veena Satyapriya, John Coffman, et al. "Continuous Erector Spinae Plane Block for Analgesia after Thoracotomy for Lung Transplantation in an Anticoagulated Patient." Case Reports in Anesthesiology 2021 (February 26, 2021): 1–4. http://dx.doi.org/10.1155/2021/6664712.

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Lung transplant recipients are at particular high risk for postoperative respiratory failure as a result of poorly controlled pain, inadequate graft expansion, decreased cough, and reliance on systemic opioid therapy. Thoracic epidural and paravertebral blocks have been employed with the goal of improving postoperative pain control, improving pulmonary mechanics, and limiting the need for narcotic administration. These approaches require a needle position in proximity to the neuraxis and may cause significant hypotension that is poorly tolerated in transplant patients. Additionally, the use of

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Anand, Neelesh, Amrita Rath, Reena, Divesh Arora, Annie Horo, and Sanjay Bhaskar. "Ultrasound-guided subtransverse interligamentary (STIL) block versus erector spinae plane (ESP) block for postoperative analgesia in patients undergoing modified radical mastectomy (MRM) – A randomised comparative study." Indian Journal of Anaesthesia 69, no. 5 (2025): 489–95. https://doi.org/10.4103/ija.ija_812_24.

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Background and Aims: Ultrasound-guided regional anaesthesia has led to the development of various paraspinal block techniques, with the most notable being the erector spinae plane (ESP) block and the subtransverse interligamentary (STIL) block. The objective of this study was to assess and compare the analgesic efficacy of STIL block with ESP block in patients undergoing modified radical mastectomy (MRM) surgery, in terms of postoperative pain scores, 24-h opioid consumption, rescue analgesia requirements and adverse effects. Methods: One hundred twenty female patients, aged 18-65 years, sched

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Dubilet, Michael, Benjamin F. Gruenbaum, Michael Semyonov, et al. "Erector Spinae Plane (ESP) Block for Postoperative Pain Management after Open Oncologic Abdominal Surgery." Pain Research and Management 2023 (June 15, 2023): 1–9. http://dx.doi.org/10.1155/2023/9010753.

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Patients undergoing abdominal oncologic surgical procedures require particular surgical and anesthesiologic considerations. Traditional pain management, such as opiate treatment, continuous epidural analgesia, and non-opioid drugs, may have serious side effects in this patient population. We evaluated erector spinae plane (ESP) blocks for postoperative pain management following elective oncologic abdominal surgeries. In this single-center, prospective, and randomized study, we recruited 100 patients who underwent elective oncological abdominal surgery between December 2020 and January 2022 at

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Santana, Lisgelia, John Driggers, and Norman F. Carvalho. "Pain management for the Nuss procedure: comparison between erector spinae plane block, thoracic epidural, and control." World Journal of Pediatric Surgery 5, no. 4 (2022): e000418. http://dx.doi.org/10.1136/wjps-2022-000418.

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ObjectivePectus excavatum is a congenital deformity characterized by a caved-in chest wall. Repair requires surgery. The less invasive Nuss procedure is very successful, but postoperative pain management is challenging and evolving. New pain management techniques to reduce opioid reliance include the erector spinae plane (ESP) block. We retrospectively examined opioid consumption after Nuss procedure comparing three pain management techniques: ESP block, thoracic epidural (TE), and patient-controlled analgesia (PCA).MethodsThis retrospective cohort study compared pain management outcomes of th

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Lodi, Rahma, Kenza Ahsan, Roomi Ahmer, Sarah Nadia Jamal, Zaigham Din Baloch, and Kiran Qamar. "Comparison of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transversus Abdominis Plane Block in Post-Operative Pain Management for Laparoscopic Cholecystectomy Patients." Pakistan Journal of Medical & Health Sciences 18, no. 01 (2024): 251–54. https://doi.org/10.53350/pjmhs02024181251.

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Background: Laparoscopic cholecystectomy is a frequently performed minimally invasive surgery associated with significant postoperative pain, which can delay recovery and increase opioid use. Regional anesthesia techniques such as the erector spinae plane (ESP) block and oblique subcostal transversus abdominis plane (OSTAP) block have been utilized to improve postoperative analgesia, but comparative data on their efficacy remain limited. Objectives: To compare the analgesic efficacy of ultrasound-guided ESP block and OSTAP block in managing postoperative pain following laparoscopic cholecystec

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Sartawi, Razan Yousef, Graeme McLeod, Ayman Mustafa, and Clare Lamb. "Randomized trial comparing the spread of erector spinae block with the combination of erector spinae block and retrolaminar block in soft embalmed Thiel cadavers." Regional Anesthesia & Pain Medicine, September 20, 2021, rapm—2021–102887. http://dx.doi.org/10.1136/rapm-2021-102887.

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BackgroundErector spinae plane (ESP) and retrolaminar (RL) blocks show unreliable spread. We hypothesize that the combination of ESP and RL blocks provides more extensive and reliable spread of dye than single ESP blocks. Our primary objective was to compare the spread of dye to the paravertebral spaces after the combination block and ESP block in Thiel embalmed cadavers. Spread, the primary end point, was defined as the number of paravertebral spaces colored with dye per injection.Materials and methodsA single anesthetist performed ultrasound-guided ESP (20 mL) and combination of ESP and RL (

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Khalil, Moataz Salah, Michael Fayez Yousef Metias, Maged Salah Mohamed, Ahmed Abd Elmohsen Bedewy, and Tarek I. Ismail. "Evaluation of Ultrasound‑Guided Erector Spinae Plane Block Versus Oblique Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy: A Comparative Study." Anesthesiology and Pain Medicine 15, no. 1 (2025). https://doi.org/10.5812/aapm-157680.

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Background: Many inter-fascial plane blocks, including the oblique subcostal transversus abdominis plane (OSTAP) block and, more recently, the erector spinae plane (ESP) block, have been utilized as part of multimodal analgesia in numerous abdominal surgeries. Objectives: This study aimed to evaluate the impact of using the OSTAP block and the ESP block as components of a multimodal analgesic technique in individuals undergoing laparoscopic cholecystectomy (LC). Methods: This randomized, controlled, single-blinded clinical study was conducted on 50 individuals aged 20 to 60 years, of both gend

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