Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Muscles of the Vertebral Column01:27

Muscles of the Vertebral Column

1.4K
The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
1.4K
Depolarizing Blockers: Mechanism of Action01:28

Depolarizing Blockers: Mechanism of Action

1.6K
Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
1.6K
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

641
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
641

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluation of relevant anatomy for cervical erector spinae plane block using paediatric computed tomography scans.

Anatomy & cell biology·2026
Same author

Global quality improvement programs: One size doesn't fit all.

Paediatric anaesthesia·2024
Same author

Diagnostic and therapeutic application of thoracic epidural in a child with intractable cardiac arrhythmias: A case report.

Paediatric anaesthesia·2022
Same author

Thoracic regional anesthesia and the impact on ventilation.

Paediatric anaesthesia·2021
Same author

The utility of ultrasonography in anesthesia management in 3 cases of caudal regression syndrome.

Paediatric anaesthesia·2020
Same author

The anatomical features of an ultrasound-guided erector spinae fascial plane block in a cadaveric neonatal sample.

Paediatric anaesthesia·2020

Related Experiment Video

Updated: Jul 11, 2025

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
08:38

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique

Published on: July 15, 2021

3.3K

Erector spinae plane blocks: A narrative update.

Adrian Bosenberg1

  • 1Department Anesthesia and Pain Management, University Washington and Seattle Children's Hospital, Seattle, Washington, USA.

Paediatric Anaesthesia
|November 16, 2023
PubMed
Summary

The erector spinae plane block (ESPB) is a widely accepted regional anesthesia technique. Its efficacy and safety are confirmed, though the precise mechanism of local anesthetic spread requires further investigation, especially in pediatric patients.

Keywords:
neonates infants childrenpainperiperal nerve blockregional anesthesiaultrasound

More Related Videos

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

449
Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

397

Related Experiment Videos

Last Updated: Jul 11, 2025

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
08:38

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique

Published on: July 15, 2021

3.3K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

449
Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

397

Area of Science:

  • Anesthesiology
  • Regional Anesthesia
  • Pain Management

Background:

  • The erector spinae plane block (ESPB) has gained significant attention in recent years.
  • There's been a substantial rise in ESPB publications for both adult and pediatric populations.
  • Various administration methods, including single-shot, intermittent bolus, and continuous infusion, have proven effective.

Purpose of the Study:

  • To review the current understanding of the erector spinae plane block.
  • To highlight the increasing body of evidence supporting ESPB in clinical practice.
  • To identify areas needing further research, particularly concerning the mechanism of action.

Main Methods:

  • Review of recent scientific literature on the erector spinae plane block.
  • Analysis of studies focusing on adult and pediatric populations.
  • Examination of different ESPB techniques and their outcomes.

Main Results:

  • ESPB is recognized for its efficacy and safety in various patient groups.
  • Pediatric studies frequently demonstrate an opioid-sparing effect with ESPB.
  • Noninferiority of ESPB compared to other regional techniques has been observed in pediatric cases.

Conclusions:

  • The clinical utility and safety of ESPB are well-established.
  • The exact mechanism of local anesthetic spread in ESPB remains a subject of ongoing research and debate.
  • Anatomical variations, especially in pediatric patients, may influence anesthetic spread and warrant further study.