Local and Regional Anesthesia (Sep 2020)
Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block
Abstract
Serkan Tulgar,1 Muhammed Enes Aydin,2,3 Ali Ahiskalioglu,2,3 Alessandro De Cassai,4 Yavuz Gurkan5 1Maltepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey; 2Ataturk University School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey; 3Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey; 4Anaesthesiology and Intensive Care, University Hospital of Padua, Padua, Italy; 5Koc University, Faculty of Medicine Department of Anesthesiology and Reanimation, Istanbul, TurkeyCorrespondence: Serkan TulgarMaltepe University Hospital, Maltepe, Istanbul, TurkeyTel +905055423985Email [email protected]: Defined in the last decade, erector spinae plane block (ESPB) is one of the more frequently used interfacial plans, and it has been the most discussed block among the recently defined techniques. Lumbar ESPB administered at lumbar levels is relatively novel and is a new horizon for regional anesthesia and pain practice. In this article, we aim to explain and introduce different approaches and explain the possible mechanism of action of lumbar ESPB. The objective of this review is to analyze the case reports, clinical and cadaveric studies about lumbar ESPB that have been published to date. We performed a search in “Pubmed” and “Google Scholar” database. After a selection of the relevant studies, 59 articles were found eligible and were included in this review. While we believe that lumbar ESPB is reliable and easy, we suggest that its efficacy and indications should be verified with anatomical and clinical studies, and its safety should be confirmed with pharmacokinetic studies. Moreover, the possibility of complications must be considered.Keywords: lumbar erector spinae block, regional anesthesia, interfascial plane blocks
