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Qualitative and Comparative Cortical Activity Data Analyses from a Functional Near-Infrared Spectroscopy Experiment Applying Block Design
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Erector spinae plane block: a systematic qualitative review
Alessandro De Cassai1, Daniele Bonvicini2, Christelle Correale3
1Section of Anesthesiology and Intensive Care, Department of Medicine (DIMED), University of Padua, Padua, Italy - alessandro.decassai@gmail.com.
Minerva Anestesiologica
|January 10, 2019
Summary
The erector spinae plane (ESP) block offers a promising approach for chronic thoracic pain relief, showing reduced opioid use and delayed first analgesic needs. Further research is essential to confirm its safety and efficacy compared to standard methods.
Area of Science:
- Anesthesiology and Pain Management
- Regional Anesthesia Techniques
- Thoracic Pain Management
Background:
- The erector spinae plane (ESP) block is an interfascial injection technique.
- It is proposed for managing chronic thoracic pain.
- The injection occurs between the transverse process and erector spinae muscles.
Purpose of the Study:
- To systematically review the literature on the erector spinae plane block.
- To evaluate its efficacy, safety, and clinical indications.
- To identify gaps in current research.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Searched MEDLINE, EMBASE, Cochrane Library, and Google Scholar.
- Included four randomized controlled trials for qualitative analysis.
Main Results:
- Studies indicated lower opioid consumption in the ESP block group.
- A longer duration to the first analgesic requirement was observed.
- ESP block demonstrated comparable effectiveness to epidural analgesia in one study.
Conclusions:
- The ESP block appears to be an easy and safe technique.
- More high-quality randomized controlled trials are needed.
- Well-designed RCTs comparing ESP block to gold standards are crucial for further validation.
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