Erector spinae plane block spread patterns and its analgesic effects after computed tomography-guided hepatic tumour ablation: a randomized double-blind trial DOI Creative Commons
Wei‐Han Chou, Wangqiang Niu, Po‐Chin Liang

et al.

Annals of Medicine, Journal Year: 2025, Volume and Issue: 57(1)

Published: March 19, 2025

Spread patterns of the erector spinae plane block (ESPB) in a larger cohort living subjects remain inadequately understood. This study investigated spread local anaesthetics or saline with contrast patients undergoing computed tomography-guided radiofrequency ablation hepatic tumours. Thirty participated double-blinded randomized controlled trial, 14 April 2021 and 18 January 2023. These were into two groups: ESPB group, which received anaesthetic contrast, sham contrast. The drug was assessed regarding vertebral levels its correlation patient characteristics. Pain intensity morphine consumption also evaluated. consistently cranio-caudally to dorsal muscle all patients, median (IQR) 9 (8-11) levels, intercostal space 4 (3-6) levels. Paravertebral occurred 90% (27 out 30) 3 (2-5) while epidural observed 36.7% (11 0 (0-2) Cranio-caudal negatively correlated back thickness (r= -0.4; p = 0.035), females exhibited significantly more than males (5.8 ± 1.0 vs. 4.3 1.6 males, respectively; 0.021). However, no significant difference found pain between groups. provides insights subjects. unilateral did not yield sufficient analgesic effects for

Language: Английский

Factors to consider for fascial plane blocks' success in acute and chronic pain management DOI
Pierfrancesco Fusco, Giuseppe Pascarella, Carla Stecco

et al.

Minerva Anestesiologica, Journal Year: 2024, Volume and Issue: 90(1-2)

Published: Jan. 10, 2024

The outcome of fascial plane blocks (FPBs) has a certain variability that may depend on many factors, which can be divided into three main categories: operator-related, patient-related and drug-related. Operator-related factors include personal skills, choice needle injection modalities. Patient variables anthropometric features, the type targeted fascia, anatomical variants, patient positioning, muscle tone breathing. Ultimately, efficacy, onset, duration affected by characteristics injected solution, including local anesthetic, volume, concentration, pH, temperature use adjuvants. In this article, we investigated all influence FPBs from generic perspective, without focusing any specific technique. Also, provided suggestions to optimize techniques for everyday practitioners insights researchers future studies.

Language: Английский

Citations

29
Anatomical basis of fascial plane blocks DOI
Ki Jinn Chin, Barbara Versyck, Hesham Elsharkawy

et al.

Regional Anesthesia & Pain Medicine, Journal Year: 2021, Volume and Issue: 46(7), P. 581 - 599

Published: June 18, 2021

Fascial plane blocks (FPBs) are regional anesthesia techniques in which the space ("plane") between two discrete fascial layers is target of needle insertion and injection. Analgesia primarily achieved by local anesthetic spread to nerves traveling within this adjacent tissues. This narrative review discusses key fundamental anatomical concepts relevant FPBs, with a focus on torso. Fascia, context, refers any sheet connective tissue that encloses or separates muscles internal organs. The basic composition fascia latticework collagen fibers filled hydrated glycosaminoglycan matrix infiltrated adipocytes fibroblasts; fluid can cross diffusion but not bulk flow. similar fat-glycosaminoglycan matric provides gliding cushioning structures, as well pathway for vessels. planes various muscle thorax, abdomen, paraspinal area close thoracic paravertebral vertebral canal, popular targets ultrasound-guided pertinent musculofascial anatomy these regions, together involved somatic visceral innervation, summarized. knowledge will aid only sonographic identification landmarks block performance, also understanding potential pathways barriers anesthetic. It critical basis further exploration refinement an emphasis improving their clinical utility, efficacy, safety.

Language: Английский

Citations

63
Spread of local anesthetics after erector spinae plane block: an MRI study in healthy volunteers DOI Creative Commons
Marie Sørenstua,

Nikolaos Zantalis,

Johan Ræder

et al.

Regional Anesthesia & Pain Medicine, Journal Year: 2022, Volume and Issue: 48(2), P. 74 - 79

Published: Nov. 9, 2022

Background Erector spinae plane block (ESPB) is a truncal fascial with disputed mechanism and anatomical site of effect. This study aimed to perform one-sided ESPB use MRI investigate the spread local anesthetic (LA) corresponding cutaneous loss sensation pinprick cold. Methods Ten volunteers received right-sided at level seventh thoracic vertebra (Th7), consisting 30 mL 2.5 mg/mL ropivacaine 0.3 gadolinium. The primary outcome was evaluation LA on 1-hour postblock. secondary cold 30–50 min after performed. Results All had in erector muscles intercostal space. 9/10 paravertebral space 8/10 neural foramina. 4/10 epidural One volunteer extensive as well contralateral foraminal spread. Four both posterior anterior midaxillary line, while six only side. Conclusion We found that consistently spreads space, foramina an ESPB. Epidural evident four volunteers. Sensory testing shows highly variable results, generally under-represents what could be expected from visualized 60 performance. Trial registration number NCT05012332 .

Language: Английский

Citations

56
Erector spinae plane block for postoperative analgesia in robotically-assisted coronary artery bypass surgery: Results of a randomized placebo-controlled trial DOI
Danny Feike Hoogma, Raf Van den Eynde, Wouter Oosterlinck

et al.

Journal of Clinical Anesthesia, Journal Year: 2023, Volume and Issue: 87, P. 111088 - 111088

Published: March 1, 2023

Language: Английский

Citations

27
Efficacy of erector spinae plane block for minimally invasive mitral valve surgery: Results of a double-blind, prospective randomized placebo-controlled trial DOI
Danny Feike Hoogma, Raf Van den Eynde, Layth Al Tmimi

et al.

Journal of Clinical Anesthesia, Journal Year: 2023, Volume and Issue: 86, P. 111072 - 111072

Published: Feb. 17, 2023

Language: Английский

Citations

26
Regional anaesthesia truncal blocks for acute postoperative pain and recovery: a narrative review DOI Creative Commons
Aisling Ní Eochagáin, Seán Carolan, Donal J. Buggy

et al.

British Journal of Anaesthesia, Journal Year: 2024, Volume and Issue: 132(5), P. 1133 - 1145

Published: Jan. 19, 2024

Language: Английский

Citations

10
Bilateral Erector Spinae Plane Block for intraabdominal pain relief DOI
Anju Gupta,

Amiya Kumar Barik,

Chitta Ranjan Mohanty

et al.

The American Journal of Emergency Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

1
Recent advancements in regional anaesthesia DOI Creative Commons

MadhuriS Kurdi,

Pushpa Agrawal,

Parna Thakkar

et al.

Indian Journal of Anaesthesia, Journal Year: 2023, Volume and Issue: 67(1), P. 63 - 70

Published: Jan. 1, 2023

ABSTRACT Patient safety, improved quality of care, and better patient satisfaction functional outcomes are currently the topmost priorities in regional anaesthesia (RA) all advancements RA move this direction. Ultrasonography-guided central neuraxial peripheral nerve blocks, intracluster intratruncal injections, fascial plane diaphragm-sparing use continuous block techniques, local anaesthetic wound infiltration catheters now topics popular clinical interest. The safety efficacy blocks can be with help injection pressure monitoring incorporation advanced technology ultrasound machine needles. Novel procedure-specific motor-sparing have come up. anaesthesiologist current era, a good understanding sonoanatomy target area microarchitecture nerves, along backup technology, very successful performing techniques. is rapidly evolving revolutionising practice anaesthesia.

Language: Английский

Citations

20
Serratus anterior and pectoralis plane blocks for robotically assisted mitral valve repair: a randomised clinical trial DOI Creative Commons
Andrej Alfirevic,

Donn Marciniak,

Andra E. Duncan

et al.

British Journal of Anaesthesia, Journal Year: 2023, Volume and Issue: 130(6), P. 786 - 794

Published: April 11, 2023

Language: Английский

Citations

19
Dorsal root ganglion: a key to understanding the therapeutic effects of the erector spinae plane (ESP) and other intertransverse process blocks? DOI Creative Commons
Marie Sørenstua, Ann‐Chatrin Linqvist Leonardsen, Ki Jinn Chin

et al.

Regional Anesthesia & Pain Medicine, Journal Year: 2023, Volume and Issue: 49(3), P. 223 - 226

Published: Sept. 19, 2023

Since its description in 2016, the erector spinae plane block (ESPB) has become a widely employed regional anesthetic technique and kindled interest range of related techniques, collectively termed intertransverse process blocks. There been ongoing controversy over mechanism action ESPB, mainly due to incongruities between results cutaneous sensory testing, clinical efficacy studies, investigations into neural structures that are reached by injected local (LA). This paper reviews spread LA paravertebral epidural space anesthesia with specific emphasis on dorsal root ganglion (DRG). We hypothesize DRG, unique complex microarchitecture, represents key therapeutic target for modulation nociceptive signaling anesthesia. discusses how anatomical physiological characteristics DRG may be one factors underpinning analgesia observed ESPB other

Language: Английский

Citations

18