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Papers of the Week

2019 May

Medicine (Baltimore)



Erector spinae plane block for multimodal analgesia after wide midline laparotomy: A case report.


Bang S, Chung J H, Kwon W, Yoo S, Soh H, Lee S M
Medicine (Baltimore). 2019 May; 98(20):e15654.
PMID: 31096490.


The most commonly used regional techniques for analgesia following laparotomy thoracic epidural analgesia and paravertebral blocks are technically difficult to perform and carry a risk of severe complications. Recently, the erector spinae plane block (ESPB) has been reported to effectively treat neuropathic pain. The ultrasound-guided ESPB is an easily performed fascial plane block that can provide sensory blockade from T2-4 to T12-L1. Moreover, the ESPB reportedly blocks both the ventral rami of spinal nerves and the rami communicants, which contain sympathetic nerve fibres, through spread into the thoracic paravertebral space.