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Papers of the Week


2019 Oct


Rev Esp Anestesiol Reanim


66


8

Anatomical description of anaesthetic spread after deep erector spinae block at L-4.

Authors

De Lara González SJ, Pomés J, Prats-Galino A, Gracia J, Martínez-Camacho A, Sala-Blanch X
Rev Esp Anestesiol Reanim. 2019 Oct; 66(8):409-416.
PMID: 31488244.

Abstract

Thoracic erector spinae plane (ESP) block is now used for postoperative analgesia. However, although reports of lumbar ESP have been published, the anesthetic spread and mechanism of action of this technique remains unclear. We describe the lumbar ESP block technique and evaluate the spread of 20ml of solution administered at the level of the transverse process of L4 in a cadaver model.