Journal of Pain Research (Aug 2019)
Efficacy of bilateral erector spinae plane block in the management of pain: current insights
Abstract
Serkan Tulgar,1 Ali Ahiskalioglu,2 Alessandro De Cassai,3 Yavuz Gurkan41Department of Anesthesiology and Reanimation, Faculty of Medicine, Maltepe University, Istanbul, Turkey; 2Department of Anaesthesiology and Reanimation, School of Medicine, Ataturk University, Erzurum, Turkey; 3Section of Anaesthesiology and Intensive Care, Department of Medicine (DIMED), University of Padua, Padua, Italy; 4Department of Anesthesiology and Reanimation, Faculty of Medicine, Koç University, Istanbul, TurkeyCorrespondence: Serkan Tulgar Fakültesi Maltepe, Üniversitesi Hastanesi, 39 Feyzullah Caddesi, Maltepe, Istanbul, TurkeyTel +90 505 542 3985Email [email protected]: Erector spinae plane block (ESPB) is a newly described interfascial plane block, and the number of articles on the bilateral application of ESPB is increasing in the literature. In this paper, in addition to analyzing bilateral ESPB cases and studies published so far, we aimed to review the relevant anatomy, describe the mechanism of spread of the injectant, demonstrate varying approaches to ESPB, and summarize case reports and clinical trials, as well as provide current insight on this emerging and popular block. Randomized controlled studies, comparative studies of ESPB versus other methods, and pharmacokinetic studies of bilateral applications must be the next step in clearly understanding bilateral ESPB.Keywords: bilateral erector spinae block, regional anesthesia, interfascial plane blocks
