Related Experiment Video
Updated: May 12, 2026
08:50
Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
Published on: June 25, 2013
Erector spinae plane block in Caesarean sections: A scoping review
Kieran Brosnan1, Mary Moore1, Aisling Ní Eochagáin1,2
1Department of Anaesthesiology, Rotunda Hospital, Dublin, Ireland.
Saudi Journal of Anaesthesia
|February 17, 2025
Summary
The Erector Spinae Plane Block (ESPB) shows promise for Caesarean section pain relief, with some studies reporting reduced pain and analgesic needs. However, more research is needed to confirm its effectiveness and guide widespread use.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Pain Management
Background:
- Multimodal analgesia is key for Caesarean section pain management.
- Regional techniques are gaining interest, but no gold standard exists.
- The Erector Spinae Plane Block (ESPB) is a newer fascial plane block with growing application in trunk surgeries, including Caesarean sections.
Purpose of the Study:
- To review the existing literature on ESPB use in Caesarean sections.
- To identify gaps in current research to inform future studies.
Main Methods:
- A scoping review was performed using Arksey and O'Malley's framework.
- Searched four databases for studies published between 2016 and 2022.
- Included studies focused on ESPB for analgesia after Caesarean section.
Main Results:
- Sixteen articles were reviewed.
- Common outcomes included postoperative pain scores and analgesic consumption.
- Six studies showed significant pain score reduction; three showed reduced analgesic consumption.
Conclusions:
- ESPB use for Caesarean section is increasing but lacks sufficient evidence for broad adoption.
- Further research is needed to assess ESPB's efficacy in specific patient groups and for patient-centered outcomes.
Keywords:
Caesarean sectionerector spinae plane blockfascial plane blockobstetric anaesthesiaregional anaesthesiaMore Related Videos
Related Concept Videos
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
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...
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...