Erector spinae plane block: a systematic qualitative review

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dc.authorid0000-0003-1996-7505en_US
dc.contributor.authorDe Cassai, Alessandro
dc.contributor.authorBonvicini, Daniele
dc.contributor.authorCorreale, Christelle
dc.contributor.authorSandei, Ludovica
dc.contributor.authorTulgar, Serkan
dc.contributor.authorTonetti, Tommaso
dc.date.accessioned2024-07-12T21:58:12Z
dc.date.available2024-07-12T21:58:12Z
dc.date.issued2019en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractINTRODUCTION: The erector spinae plane (ESP) block is an interfascial block proposed to provide analgesia for chronic thoracic pain. It consists in an injection of local anesthetic in a plane between the transverse process and the erector spinae muscles group. EVIDENCE ACQUISITION: We performed a systematic review of literature following the PRISMA Statement Guidelines. The bibliographic search was conducted on September 2018. We included articles indexed in MEDLINE, EMBASE, Cochrane Library and Google Scholar. Search terms included the following: "erector spinae plane block" OR "ESP block" OR "erector spinae block." We identified 367 studies and after removal of 206 duplicates and exclusion of 18 records we manually searched 140 studies. EVIDENCE SYNTHESIS: We identified four randomized controlled trials, but the endpoints were heterogeneous preventing a statistical analysis; we performed then a qualitative review of the literature. Studies showed lower use of opioids and a longer time to first analgesic requirement in the ESP group. In one study, ESP block was found to be as effective as epidural analgesia. ESP block has a wide range of clinical indications. Its mechanism of action is still not thoroughly understood. Only two reports presented complications caused by the block. CONCLUSIONS: Although data suggests that ESP block is an easy and safe technique, more studies are needed to assess safety, complications rates and efficacy of this technique. In particular, we need well designed RCTs comparing ESP block to gold standard regional anesthesia technique. Nevertheless, ESP block is already a viable option for anesthesiologists all over the world.en_US
dc.identifier.doi10.23736/S0375-9393.18.13341-4
dc.identifier.endpage319en_US
dc.identifier.issn0375-9393
dc.identifier.issn1827-1596
dc.identifier.issue3en_US
dc.identifier.pmid30621377en_US
dc.identifier.scopus2-s2.0-85062984221en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage308en_US
dc.identifier.urihttps://dx.doi.org/10.23736/S0375-9393.18.13341-4
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8765
dc.identifier.volume85en_US
dc.identifier.wosWOS:000461426300013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherEDIZIONI MINERVA MEDICAen_US
dc.relation.ispartofMINERVA ANESTESIOLOGICAen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY09280
dc.subjectNerve blocken_US
dc.subjectSpinal anesthesiaen_US
dc.subjectThoracic wallen_US
dc.subjectConduction anesthesiaen_US
dc.titleErector spinae plane block: a systematic qualitative reviewen_US
dc.typeReview
dspace.entity.typePublication

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