Abstract
Introduction: Erector spinae plane block (ESPB) is a novel regional anesthesia technique used in postoperative pain and chronic neuropathic pain of the thoracoabdominal region. There are no previously published large case series. This retrospective review aimed to report the indications, levels of block, success of block and complications, and also to evaluate the effect of ESPB on postoperative/chronic pain.Methods: We retrospectively evaluated the charts and medical records of 182 patients who had ESPB in the last one year. All records were collected in the postoperative recovery room, ward, and pain unit.Results: ESPB performed at several different levels and for several different indications led to effective postoperative analgesia when part of a multimodal analgesia plan. Few complications were noted.Conclusion: ESPB is an interfascial plane block with many indications. The possibility of complications must be considered.
Highlights
Erector spinae plane block (ESPB) is a novel regional anesthesia technique used in postoperative pain and chronic neuropathic pain of the thoracoabdominal region
ESPB performed at several different levels and for several different indications led to effective postoperative analgesia when part of a multimodal analgesia plan
ESPB was performed for postoperative analgesia in 173 patients and chronic pain in nine patients
Summary
Erector spinae plane block (ESPB) is a novel regional anesthesia technique used in postoperative pain and chronic neuropathic pain of the thoracoabdominal region. There are no previously published large case series. This retrospective review aimed to report the indications, levels of block, success of block and complications, and to evaluate the effect of ESPB on postoperative/chronic pain. Ultrasound-guided erector spinae plane block (ESPB) is an interfascial plane block described by Forero et al [1] for the treatment of thoracic neuropathic pain. Anatomical dissections and imaging studies aimed at revealing the mechanism of the effect of ESPB have reported differing results [11,12,13]. The operator and/or technique may play an important role in the block’s success
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