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The erector spinae plane block: a narrative review
Pablo Kot1, Pablo Rodriguez1, Manuel Granell1
1Department of Anesthesia, Critical Care and Pain Medicine, University General Hospital Consortium of Valencia, Spain.
Korean Journal of Anesthesiology
|March 20, 2019
Summary
The erector spinae plane (ESP) block is a novel regional anesthesia technique for pain management. This review analyzes recent studies, finding ESP block effective for acute and chronic pain with few complications.
Area of Science:
- Anesthesiology
- Pain Management
- Regional Anesthesia
Background:
- Fascial plane blocks represent recent advancements in regional anesthesia and pain management.
- The erector spinae plane (ESP) block is a newly described technique with a significant increase in publications over the past two years.
Purpose of the Study:
- To systematically review and analyze published articles on the erector spinae plane block.
- To evaluate the current evidence regarding the efficacy and application of the ESP block.
Main Methods:
- A comprehensive search of major databases was conducted, identifying 368 articles.
- 125 relevant studies were selected and included in this review after a rigorous screening process.
Main Results:
- The ESP block involves injecting local anesthetic into the fascial plane deep to the erector spinae muscle.
- Studies indicate satisfactory results for both acute and chronic pain management across various clinical scenarios.
- The single-shot technique was most commonly employed, with the procedure noted for its ease of performance and low complication rate.
Conclusions:
- The erector spinae plane block is a versatile and effective technique for managing acute and chronic pain.
- While promising, further research is required to solidify the evidence base and fully understand the mechanisms of the ESP block.
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