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Erector Spinae Plane Block as a Rescue Technique  For Postoperative Analgesia for Abdominal Surgery
Poster Title: Erector Spinae Plane Block as a Rescue Technique For Postoperative Analgesia for Abdominal Surgery
Submitted on 09 Jul 2018
Author(s): Mamta Chura, MBBS, Aimee Pak, MD, Shvetank Agarwal, MBBS, Steven Hanling, MD, Paramvir Singh, MBBS
Affiliations: Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, Augusta, Georgia
This poster was presented at Georgia Society of Anesthesiologist Summer Meeting
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Poster Information
Abstract: There are many regional anesthetic techniques available for post-operative analgesia for abdominal surgery and include the TAP block, rectus sheath block, and neuraxial anesthesia. Although relatively new, the ESP block may be advantageous to the above mentioned techniques in that it is easy to perform, is efficacious for providing both somatic and visceral abdominal analgesia, and has a better safety profile than neuraxial techniques. Compared to existing neuraxial options, hemodynamic changes, coagulopathy, and neurological complications tend to be lower with ESP, which makes the ESP block a preferred safer alternative.
Summary: Ultrasound-guided erector spinae plane (ESP) block is a regional anesthetic procedure utilized to provide thoracic analgesia.1 In this technique, local anesthetic is injected into the fascial plane deep to the erector spinae muscle and superficial to the transverse process.
References: Chin KJ, Malhas L, Perlas A. The erector spinae plane block provides visceral abdominal analgesia in bariatric surgery: a report of 3 cases. Regional anesthesia and pain medicine. 2017 May 1;42(3):372-6.
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 reports. 2017 Dec 1;9(11):319-21.
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