Skip to main content
SpringerLink
Log in

Erector Spinae Plane Block (ESP Block)

  • Chapter
  • First Online:
Ultrasound for Interventional Pain Management

Abstract

This chapter discussed the anatomy, sonoanatomy, and mechanism of erector spinae plane block. A detailed discussion of the injection is included here. The literature on the erector spinae block in patients of different age population and surgical procedures will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Adhikary SD, Bernard S, Lopez H, Chin KJ. Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study. Reg Anesth Pain Med. 2018;43:756–62.

    PubMed  Google Scholar 

  • Adhikary SD, Pruett A, Forero M, Thiruvenkatarajan V. Erector spinae plane block as an alternative to epidural analgesia for post-operative analgesia following video-assisted thoracoscopic surgery: a case study and a literature review on the spread of local anaesthetic in the erector spinae plane. Indian J Anaesth. 2018;62(1):75–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Adhikary SD, Prasad A, Soleimani B, Chin KJ. Continuous erector spinae plane block as an effective analgesic option in anticoagulated patients after left ventricular assist device implantation: a case series. J Cardiothorac Vasc Anesth. 2019;33:1063–7. pii: S1053-0770(18)30257-X.

    Article  PubMed  Google Scholar 

  • Ahiskalioglu A, Alici HA, Ciftci B, Celik M, Karaca O. Continuous ultrasound guided erector spinae plane block for the management of chronic pain. Anaesth Crit Care Pain Med. 2017. https://doi.org/10.1016/j.accpm.2017.11.014. pii: S2352-5568(17)30357-0.

    Article  Google Scholar 

  • Aksu C, Gürkan Y. Opioid sparing effect of erector spinae plane block for pediatric bilateral inguinal hernia surgeries. J Clin Anesth. 2018;50:62–3.

    Article  PubMed  Google Scholar 

  • Aksu C, Gürkan Y. Ultrasound-guided bilateral erector spinae plane block could provide effective postoperative analgesia in laparoscopic cholecystectomy in paediatric patients. Anaesth Crit Care Pain Med. 2019;38:87–8. pii: S2352-5568(18)30084-5.

    Article  PubMed  Google Scholar 

  • Chin KJ, Malhas L, Perlas A. The erector spinae plane block provides visceral abdominal analgesia in bariatric surgery. A report of 3 cases. Reg Anesth Pain Med. 2017;42(3):372–6.

    Article  PubMed  Google Scholar 

  • Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia. 2017;72(4):452–60.

    Article  CAS  PubMed  Google Scholar 

  • Cornish PB. Erector spinae plane block: the “happily accidental” paravertebral block. Reg Anesth Pain Med. 2018;43(6):644–5.

    Article  PubMed  Google Scholar 

  • De Cassai A, Marchet A, Ori C. The combination of erector spinae plane block and PECS blocks could avoid general anesthesia for radical mastectomy in high risk patients. Minerva Anestesiol. 2018;84:1420–1.

    PubMed  Google Scholar 

  • De Cassai A, Stefani G, Ori C. Erector spinae plane block and brachial plexus. J Clin Anesth. 2018;45:32.

    Article  PubMed  Google Scholar 

  • De la Cuadra-Fontaine JC, Concha M, Vuletin F, Arancibia H. Continuous erector spinae plane block for thoracic surgery in a pediatric patient. Paediatr Anaesth. 2018;28(1):74–5.

    Article  PubMed  Google Scholar 

  • El-Boghdadly K, Pawa A. The erector spinae plane block: plane and simple. Anaesthesia. 2017;72(4):434–8.

    Article  CAS  PubMed  Google Scholar 

  • Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block. A novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41(5):621–7.

    Article  CAS  PubMed  Google Scholar 

  • Forero M, Rajarathinam M, Adhikary S, Chin KJ. Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: a case series. Scand J Pain. 2017;17:325–9.

    Article  PubMed  Google Scholar 

  • Forero M, Rajarathinam M, Adhikary S, Chin KJ. Continuous erector spinae plane block for rescue analgesia in thoracotomy after epidural failure: a case report. A A Case Rep. 2017;8(10):254–6.

    Article  PubMed  Google Scholar 

  • Forero M, Rajarathinam M, Adhikary SD, Chin KJ. Erector spinae plane block for the management of chronic shoulder pain: a case report. Can J Anaesth. 2018;65(3):288–93.

    Article  PubMed  Google Scholar 

  • Gürkan Y, Aksu C, Kuş A, Yörükoğlu UH, Kılıç CT. Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: a randomized controlled study. J Clin Anesth. 2018;50:65–8.

    Article  PubMed  Google Scholar 

  • Hamilton DL, Manickam B. The erector spinae plane block. Reg Anesth Pain Med. 2017;42(2):276.

    Article  PubMed  Google Scholar 

  • Hannig KE, Jessen C, Soni UK, Børglum J, Bendtsen TF. Erector spinae plane block for elective laparoscopic cholecystectomy in the ambulatory surgical setting. Case Rep Anesthesiol. 2018;2018:5492527.

    PubMed  PubMed Central  Google Scholar 

  • Ilker I, Zafeer KM, Tetsuya S. Ultrasound guided erector spinae plane block for bilateral lumbar transverse process fracture: a new or a pushing indication? Am J Emerg Med. 2019;37:557. pii: S0735-6757(18)30627-2.

    Article  PubMed  Google Scholar 

  • Ivanusic J, Konishi Y, Barrington MJ. A cadaveric study investigating the mechanism of action of erector spinae blockade. Reg Anesth Pain Med. 2018;43(6):567–71.

    Article  PubMed  Google Scholar 

  • Kimachi PP, Martins EG, Peng P, Forero M. The erector spinae plane block provides complete surgical anesthesia in breast surgery: a case report. A A Pract. 2018;11:186–8.

    Article  PubMed  Google Scholar 

  • Kose HC, Kose SG, Thomas DT. Lumbar versus thoracic erector spinae plane block: similar nomenclature, different mechanism of action. J Clin Anesth. 2018;48:1.

    Article  PubMed  Google Scholar 

  • Krishna SN, et al. Bilateral erector spinae plane block for acute post-surgical pain in adult cardiac surgical patients: a randomized controlled trial. J Cardiothorac Vasc Anesth. 2019;33:368–75. pii: S1053-0770(18)30383-5.

    Article  PubMed  Google Scholar 

  • Kumar A, Hulsey A, Martinez-Wilson H, Kim J, Gadsden J. The use of liposomal bupivacaine in erector spinae plane block to minimize opioid consumption for breast surgery: a case report. A A Pract. 2018;10(9):239–41.

    Article  PubMed  Google Scholar 

  • Muñoz F, Cubillos J, Bonilla AJ, Chin KJ. Erector spinae plane block for postoperative analgesia in pediatric oncological thoracic surgery. Can J Anaesth. 2017;64(8):880–2.

    Article  PubMed  Google Scholar 

  • Nagaraja PS, et al. Comparison of continuous thoracic epidural analgesia with bilateral erector spinae plane block for perioperative pain management in cardiac surgery. Ann Card Anaesth. 2018;21(3):323–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ramos J, Peng P, Forero M. Long-term continuous erector spinae plane block for palliative pain control in a patient with pleural mesothelioma. Can J Anaesth. 2018;65(7):852–3.

    Article  PubMed  Google Scholar 

  • Restrepo-Garces CE, Chin KJ, Suarez P, Diaz A. Bilateral continuous erector spinae plane block contributes to effective postoperative analgesia after major open abdominal surgery: a case report. A A Case Rep. 2017;9(11):319–21.

    Article  PubMed  Google Scholar 

  • Schwartzmann A, Peng P, Maciel MA, Forero M. Mechanism of the erector spinae plane block: insights from a magnetic resonance imaging study. Can J Anaesth. 2018;65:1165–6.

    Article  PubMed  Google Scholar 

  • Selvi O, Tulgar S. Ultrasound guided erector spinae plane block as a cause of unintended motor block. Rev Esp Anestesiol Reanim. 2018;65:589–92. pii: S0034-9356(18)30110-5.

    Article  CAS  PubMed  Google Scholar 

  • Sieben JM, van Otten I, Lataster A, Froeling M, Nederveen AJ, Strijkers GJ, Drost MR. In vivo reconstruction of lumbar erector spinae architecture using diffusion tensor MRI. Clin Spine Surg. 2016;29(3):E139–45.

    Article  PubMed  Google Scholar 

  • Tsui BCH, Navaratnam M, Boltz G, Maeda K, Caruso TJ. Bilateral automatized intermittent bolus erector spinae plane analgesic blocks for sternotomy in a cardiac patient who underwent cardiopulmonary bypass: a new era of cardiac regional anesthesia. J Clin Anesth. 2018;48:9–10.

    Article  PubMed  Google Scholar 

  • Tsui BCH, Mohler D, Caruso TJ, Horn JL. Cervical erector spinae plane block catheter using a thoracic approach: an alternative to brachial plexus blockade for forequarter amputation. Can J Anaesth. 2019;66:119–20.

    Article  PubMed  Google Scholar 

  • Tulgar S, Senturk O. Ultrasound guided low thoracic erector spinae plane block for postoperative analgesia in radical retropubic T prostatectomy, a new indication. J Clin Anesth. 2018;47:4.

    Article  PubMed  Google Scholar 

  • Tulgar S, Kapakli MS, Senturk O, Selvi O, Serifsoy TE, Ozer Z. Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a prospective, randomized, controlled clinical trial. J Clin Anesth. 2018;49:101–6.

    Article  PubMed  Google Scholar 

  • Tulgar S, Thomas DT, Deveci U. Erector spinae plane block provides sufficient surgical anesthesia for ileostomy closure in a high-risk patient. J Clin Anesth. 2018;48:2–3.

    Article  PubMed  Google Scholar 

  • Tulgar S, Selvi O, Ozer Z. Clinical experience of ultrasound-guided single and bi-level erectorspinae plane block for postoperative analgesia in patients undergoing thoracotomy. J Clin Anesth. 2018;50:22–3.

    Article  PubMed  Google Scholar 

  • Tulgar S, Selvi O, Senturk O, Ermis MN, Cubuk R, Ozer Z. Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries. J Clin Anesth. 2018;47:5–6.

    Article  PubMed  Google Scholar 

  • Ueshima H. Pneumothorax after the erector spinae plane block. J Clin Anesth. 2018;48:12.

    Article  PubMed  Google Scholar 

  • Ueshima H, Otake H. Similarities between the retrolaminar and erector spinae plane blocks. Reg Anesth Pain Med. 2017;42(1):123–4.

    Article  PubMed  Google Scholar 

  • Ueshima H, Otake H. Limitations of the Erector Spinae Plane (ESP) block for radical mastectomy. J Clin Anesth. 2018;51:97.

    Article  PubMed  Google Scholar 

  • Wilson JM, Lohser J, Klaibert B. Erector spinae plane block for postoperative rescue analgesia in thoracoscopic surgery. J Cardiothorac Vasc Anesth. 2018;32:e5–7. pii: S1053-0770(18)30472-5.

    Article  PubMed  Google Scholar 

  • Wong J, Navaratnam M, Boltz G, Maeda K, Ramamurthi RJ, Tsui BCH. Bilateral continuous erector spinae plane blocks for sternotomy in a pediatric cardiac patient. J Clin Anesth. 2018;47:82–3.

    Article  CAS  PubMed  Google Scholar 

  • Yang HM, Choi YJ, Kwon HJ, O J, Cho TH, Kim SH. Comparison of injectate spread and nerve involvement between retrolaminar and erectorspinae plane blocks in the thoracic region: a cadaveric study. Anaesthesia. 2018;73:1244–50.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesia, McMaster University, Hamilton, ON, Canada

    Mauricio Forero

  2. Department of Anesthesia, Intensive Care and Pain Treatment, University Hospital Virgen de la Arrixaca, Murcia, Spain

    Vicente Roqués

  3. Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia

    Nestor Jose Trujillo-Uribe

  4. Department of Anesthesia and Pain Medicine, Fundación Oftalmológica de Santander, Clínica Carlos Ardila Lule, Clínica del Dolor y Cuidado Paliativo ALIVIAR LTDA, Floridablanca, Colombia

    Nestor Jose Trujillo-Uribe

Authors
  1. Mauricio Forero
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vicente Roqués
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nestor Jose Trujillo-Uribe
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nestor Jose Trujillo-Uribe .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Pain Management, Toronto Western Hopsital and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Philip Peng

  2. Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, Quebec, Canada

    Roderick Finlayson

  3. Madi Pain Management Center, Jeonju, Korea (Republic of)

    Sang Hoon Lee

  4. Department of Anesthesia and Pain Management, Toronto Western Hopsital and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Anuj Bhatia

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Forero, M., Roqués, V., Trujillo-Uribe, N.J. (2020). Erector Spinae Plane Block (ESP Block). In: Peng, P., Finlayson, R., Lee, S., Bhatia, A. (eds) Ultrasound for Interventional Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-030-18371-4_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-18371-4_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18370-7

  • Online ISBN: 978-3-030-18371-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation