Tuesday, February 18, 2025

📌 Erector spinae plane (ESP) block - Indian Journal of Anaesthesia (IJA)

Indian Journal of Anaesthesia (IJA)


▶️ Erector spinae plane (ESP) block manuscripts published in the Indian Journal of Anaesthesia  (IJA) collectively highlight the versatility and efficacy of the ESP block in various clinical scenarios, ranging from acute postoperative pain management to serving as an alternative to traditional analgesic techniques.

📌 Click to read all here and plan for your future research and clinical practice effectively:

Search Results : Indian Journal of Anaesthesia


https://journals.lww.com/ijaweb/pages/results.aspx?txtKeywords=erector+spinae+plane

✅ Post-operative Analgesia Enhancement

✒️Key Points: Ultrasound-guided ESP block significantly reduces post-operative morphine consumption, enhances analgesia, and improves patient satisfaction without adverse effects.


✅ Block Technique Overview

✒️Key Points: The ESP block involves injecting a local anaesthetic into the interfascial plane beneath the erector spinae muscle, representing a relatively new approach to regional anesthesia


✅ Application in Chronic Pain

✒️Key Points: The sacral ESP block has been effectively utilized for managing chronic pain, thereby expanding its clinical indications beyond acute pain scenarios


✅ Surgical Anaesthesia Achievement

✒️Key Points: A single-shot ultrasound-guided ESP block can achieve complete surgical anesthesia in an average of 31.5 minutes, demonstrating its efficacy in operative settings


Fluoroscopic-Guided Technique

✒️Key Points: Fluoroscopic guidance for the ESP block has been successfully employed, particularly in managing acute pain associated with multiple rib fracture


Analgesic Adjunct for Rib Fractures

✒️Key Points: The ESP block serves as an effective analgesic adjunct in traumatic rib fractures, using high-volume, low-concentration local anesthetic for pain relief


✅ Combination with Low-Dose Intrathecal Morphine

✒️Key Points: Combining the ESP block with low-dose intrathecal morphine produces opioid-sparing effects postoperatively, notably in open radical cystectomy procedures


Use in Laparoscopic Surgery

✒️ Key Points: Intraoperative ESP block has been utilized during laparoscopic surgeries, offering effective pain relief while being a safer alternative to traditional methods.


✅ Alternative to Epidural Analgesia

✒️ Key Points: The ESP block is proposed as a simple and safe alternative to epidural analgesia for managing acute post-surgical, post-traumatic, and chronic pain.


✅ Comparison with Port-Site Infiltration

✒️ Key Points: In laparoscopic cholecystectomy patients, ESP block was associated with lower postoperative pain scores, reduced opioid consumption, and improved quality of recovery compared to port-site infiltration.


Feel free to click on any of the links for a deeper dive into each study!

Prof Rakesh Garg

Editor-in-Chief - IJA

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