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Svirskiy D.A.

Multi-Field Center for Pain Management and Rehabilitation;
Northern State Medical University

Antipin E.E.

Multi-Field Center for Pain Management and Rehabilitation;
Northern State Medical University

Paromov K.V.

Volosevich First City Clinical Hospital No. 1

Drobotova E.F.

N.N. Petrov National Medicine Research Center of oncology

Nedashkovsky E.V.

Northern State Medical University

Paraxial spinal nerve block

Authors:

Svirskiy D.A., Antipin E.E., Paromov K.V., Drobotova E.F., Nedashkovsky E.V.

More about the authors

Read: 3830 times


To cite this article:

Svirskiy DA, Antipin EE, Paromov KV, Drobotova EF, Nedashkovsky EV. Paraxial spinal nerve block. Russian Journal of Anesthesiology and Reanimatology. 2021;(4):128‑135. (In Russ.)
https://doi.org/10.17116/anaesthesiology2021041128

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References:

  1. Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Regional Anesthesia and Pain Medicine. 2016;41(5):621-627.  https://doi.org/10.1097/AAP.0000000000000451
  2. Chin KJ, Forero M, Adhikary SD. Reply to Dr Ueshima and Dr Murouchi. Regional Anesthesia and Pain Medicine. 2017;42(1):124-125.  https://doi.org/10.1097/AAP.0000000000000531
  3. Yao Y, Fu S, Dai S, Yun J, Zeng M, Li H, Zheng X. Impact of ultrasound-guided erector spinae plane block on postoperative quality of recovery in video-assisted thoracic surgery: A prospective, randomized, controlled trial. Journal of Clinical Anesthesia. 2020;63:109783. https://doi.org/10.1016/j.jclinane.2020.109783
  4. Singh S, Choudhary NK, Lalin D, Verma VK. Bilateral ultrasound-guided erector spinae plane block for postoperative analgesia in lumbar spine surgery. Journal of Neurosurgical Anesthesiology. 2020;32(4):330-334.  https://doi.org/10.1097/ANA.0000000000000603
  5. Aksu C, Kuş A, Yörükoğlu HU, Tor Kılıç C, Gürkan Y. Analgesic effect of the bi-level injection erector spinae plane block after breast surgery: A randomized controlled trial. The Journal of the Turkish Society of Algology. 2019;31(3):132-137.  https://doi.org/10.14744/agri.2019.61687
  6. Balamurugan RJ, Kumar SS. Ultrasound guided erector spinae plane block for postoperative analgesia in abdominal surgeries IOSR. Journal of Medical and Dental Sciences. 2020;19:1-14. 
  7. Bang S, Choi J, Kim ED. A high thoracic erector spinae plane block used for sympathetic block in patients with upper extremity complex regional pain syndrome. Journal of Clinical Anesthesia. 2020;60:99-100.  https://doi.org/10.1016/j.jclinane.2019.09.011
  8. Chung K, Kim ED. Continuous erector spinae plane block at the lower lumbar level in a lower extremity complex regional pain syndrome patient. Journal of Clinical Anesthesia. 2018;48:30-31.  https://doi.org/10.1016/j.jclinane.2018.04.012
  9. Takahashi H, Suzuki T. Erector spinae plane block for low back pain in failed back surgery syndrome: a case report. JA Clinical Reports. 2018;4(1):60.  https://doi.org/10.1186/s40981-018-0198-6
  10. Kose HC, Kose SG, Thomas DT. Thomas Lumbar versus thoracic erector spinae plane block: similar nomenclature, different mechanism of action. Journal of Clinical Anesthesia. 2018;48:1.  https://doi.org/10.1016/j.jclinane.2018.03.026
  11. Hamadnalla H, Elsharkawy H, Shimada T, Maheshwari K, Esa WAS, Tsui BCH. Cervical erector spinae plane block catheter for shoulder disarticulation surgery. Canadian Journal of Anaesthesia. 2019;66(9):1129-1131. https://doi.org/10.1007/s12630-019-01421-9
  12. Goyal A, Kamath S, Kalgudi P, Krishnakumar M. Perioperative analgesia with erector spinae plane block for cervical spine instrumentation surgery. Saudi Journal of Anaesthesia. 2020;14(2):263-264.  https://doi.org/10.4103/sja.SJA_654_19
  13. Elsharkawy H, Ince I, Hamadnalla H, Drake RL, Tsui BCH. Cervical erector spinae plane block: a cadaver study. Regional Anesthesia and Pain Medicine. 2020;45(7):552-556.  https://doi.org/10.1136/rapm-2019-101154
  14. Mekonen HK, Hikspoors JP, Mommen G, Eleonore Köhler S, Lamers WH. Development of the epaxial muscles in the human embryo. Clinical Anatomy. 2016;29(8):1031-1045. https://doi.org/10.1002/ca.22775
  15. Schuenke MD, Vleeming A, Van Hoof T, Willard FH. A description of the lumbar interfascial triangle and its relation with the lateral raphe: anatomical constituents of load transfer through the lateral margin of the thoracolumbar fascia. Journal of Anatomy. 2012;221(6):568-576.  https://doi.org/10.1111/j.1469-7580.2012.01517.x
  16. Hamilton DL. The erector spinae plane block: Time for clarity over anatomical nomenclature. Journal of Clinical Anesthesia. 2020;62:109699. https://doi.org/10.1016/j.jclinane.2020.109699
  17. Bordoni B, Marelli F, Morabito B, Sacconi B. The indeterminable resilience of the fascial system. Journal of Integrative Medicine. 2017;15(5):337-343.  https://doi.org/10.1016/S2095-4964(17)60351-0
  18. Adstrum S, Hedley G, Schleip R, Stecco C, Yucesoy CA. Defining the fascial system. Journal of Bodywork and Movement Therapies. 2017;21(1): 173-177.  https://doi.org/10.1016/j.jbmt.2016.11.003
  19. Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia. 2017;72(4):452-460.  https://doi.org/10.1111/anae.13814
  20. Diwan S, Garud R, Nair A. Thoracic paravertebral and erector spinae plane block: A cadaveric study demonstrating different site of injections and similar destinations. Saudi Journal of Anaesthesia. 2019;13(4):399-401.  https://doi.org/10.4103/sja.SJA_339_19
  21. Aponte A, Sala-Blanch X, Prats-Galino A, Masdeu J, Moreno LA, Sermeus LA. Anatomical evaluation of the extent of spread in the erector spinae plane block: a cadaveric study. Canadian Journal of Anaesthesia. 2019;66(8):886-893.  https://doi.org/10.1007/s12630-019-01399-4
  22. De Lara González SJ, Pomés J, Prats-Galino A, Gracia J, Martínez-Camacho A, Sala-Blanch X. Anatomical description of anaesthetic spread after deep erector spinae block at L-4. Revista Espanola de Anestesiologia y Reanimacion. 2019;66(8):409-416.  https://doi.org/10.1016/j.redar.2019.07.001
  23. Govender S, Mohr D, Bosenberg A, Van Schoor AN. A cadaveric study of the erector spinae plane block in a neonatal sample. Regional Anesthesia and Pain Medicine. 2020;45(5):386-388.  https://doi.org/10.1136/rapm-2019-100985
  24. Adhikary SD, Bernard S, Lopez H, Chin KJ. Erector Spinae Plane Block Versus Retrolaminar Block: A Magnetic Resonance Imaging and Anatomical Study. Regional Anesthesia and Pain Medicine. 2018;43(7):756-762.  https://doi.org/10.1097/AAP.0000000000000798
  25. Ivanusic J, Konishi Y, Barrington MJ. A Cadaveric Study Investigating the Mechanism of Action of Erector Spinae Blockade. Regional Anesthesia and Pain Medicine. 2018;43(6):567-571.  https://doi.org/10.1097/AAP.0000000000000789
  26. Yang HM, Choi YJ, Kwon HJ, O J, Cho TH, Kim SH. Comparison of injectate spread and nerve involvement between retrolaminar and erector spinae plane blocks in the thoracic region: a cadaveric study. Anaesthesia. 2018;73(10):1244-1250. https://doi.org/10.1111/anae.14408
  27. Vidal E, Giménez H, Forero M, Fajardo M. Erector spinae plane block: A cadaver study to determine its mechanism of action. Revista Espanola de Anestesiologia y Reanimacion. 2018;65(9):514-519.  https://doi.org/10.1016/j.redar.2018.07.004
  28. Nielsen MV, Moriggl B, Hoermann R, Nielsen TD, Bendtsen TF, Børglum J. Are single-injection erector spinae plane block and multiple-injection costotransverse block equivalent to thoracic paravertebral block? Acta Anaesthesiologica Scandinavica. 2019;63(9):1231-1238. https://doi.org/10.1111/aas.13424
  29. Elsharkawy H, Bajracharya GR, El-Boghdadly K, Drake RL, Mariano ER. Comparing two posterior quadratus lumborum block approaches with low thoracic erector spinae plane block: an anatomic study. Regional Anesthesia and Pain Medicine. 2019;rapm-2018-100147. https://doi.org/10.1136/rapm-2018-100147
  30. Choi YJ, Kwon HJ, O J, Cho TH, Won JY, Yang HM, Kim SH. Influence of injectate volume on paravertebral spread in erector spinae plane block: An endoscopic and anatomical evaluation. PloS One. 2019;14(10): e0224487. https://doi.org/10.1371/journal.pone.0224487
  31. Dautzenberg KHW, Zegers MJ, Bleeker CP, Tan ECTH, Vissers KCP, van Geffen GJ, van der Wal SEI. Unpredictable Injectate Spread of the Erector Spinae Plane Block in Human Cadavers. Anesthesia and Analgesia. 2019;129(5):163-166.  https://doi.org/10.1213/ANE.0000000000004187
  32. Tulgar S, Selvi O, Senturk O, Ermis MN, Cubuk R, Ozer Z. Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries. Journal of Clinical Anesthesia. 2018;47:5-6.  https://doi.org/10.1016/j.jclinane.2018.02.014
  33. Schwartzmann A, Peng P, Maciel MA, Forero M. Mechanism of the erector spinae plane block: insights from a magnetic resonance imaging study. Canadian Journal of Anaesthesia. 2018;65(10):1165-1166. https://doi.org/10.1007/s12630-018-1187-y
  34. Ueshima H, Hiroshi O. Spread of local anesthetic solution in the erector spinae plane block. Journal of Clinical Anesthesia. 2018;45:23.  https://doi.org/10.1016/j.jclinane.2017.12.007
  35. Celik M, Tulgar S, Ahiskalioglu A, Alper F. Is high volume lumbar erector spinae plane block an alternative to transforaminal epidural injection? Evaluation with MRI. Regional Anesthesia & Pain Medicine. 2019;44(9): 906-907. First published April 16, 2019. https://doi.org/10.1136/rapm-2019-100514
  36. Diwan S, Nair A. Is Paravertebral-Epidural Spread the Underlying Mechanism of Action of Erector Spinae Plane Block? Turkish Journal of Anaesthesiology and Reanimation. 2020;48(1):86-87.  https://doi.org/10.5152/TJAR.2019.81226
  37. Schwartzmann A, Peng P, Maciel MA, Alcarraz P, Gonzalez X, Forero M. A magnetic resonance imaging study of local anesthetic spread in patients receiving an erector spinae plane block. Canadian Journal of Anaesthesia. 2020;67(8):942-948.  https://doi.org/10.1007/s12630-020-01613-8
  38. Tulgar S, Selvi O, Senturk O, Serifsoy TE, Thomas DT. Ultrasound-guided Erector Spinae Plane Block: Indications, Complications, and Effects on Acute and Chronic Pain Based on a Single-center Experience. Cureus. 2019;11(1):e3815. https://doi.org/10.7759/cureus.3815
  39. Roberts S, Engelhardt T. Erector spinae plane block: the only block you need to know or the poor man’s paravertebral? Minerva Anestesiologica. 2019; 85(3):233-235.  https://doi.org/10.23736/S0375-9393.19.13578-X
  40. Hruschka J, Arndt CD. Transverse approach to the erector spinae block. Regional Anesthesia and Pain Medicine. 2019;44(3):422-423.  https://doi.org/10.1136/rapm-2018-100241
  41. Tulgar S, Selvi O, Ozer Z. Clinical experience of ultrasound-guided single and bi-level erector spinae plane block for postoperative analgesia in patients undergoing thoracotomy. Journal of Clinical Anesthesia. 2018;50:22-23.  https://doi.org/10.1016/j.jclinane.2018.06.034
  42. Balaban O, Aydın T. Ultrasound guided bi-level erector spinae plane block for pain management in Herpes Zoster. Journal of Clinical Anesthesia. 2019;52:31-32.  https://doi.org/10.1016/j.jclinane.2018.08.016
  43. Kline J, Chin KJ. Modified dual-injection lumbar erector spine plane (ESP) block for opioid-free anesthesia in multilevel lumbar laminectomy. Korean Journal of Anesthesiology. 2019;72(2):188-190.  https://doi.org/10.4097/kja.d.18.00289
  44. Kilicaslan A, Sarkilar G, Altınok T, Tulgar S. A novel ultrasound-guided technique in peri-paravertebral area: Subtransverse process interligamentary (STIL) plane block: The game has not ended yet. Journal of Clinical Anesthesia. 2020;60:76-77.  https://doi.org/10.1016/j.jclinane.2019.08.047
  45. Ohgoshi Y, Ando A, Kubo EN. Paravertebral spread after different nerve blocks in the peri-paravertebral area. Journal of Clinical Anesthesia. 2020; 62:109747. https://doi.org/10.1016/j.jclinane.2020.109747
  46. Zhao H, Xin L, Feng Y. The effect of preoperative erector spinae plane vs. paravertebral blocks on patient-controlled oxycodone consumption after video-assisted thoracic surgery: A prospective randomized, blinded, non-inferiority study. Journal of Clinical Anesthesia. 2020;62:109737. https://doi.org/10.1016/j.jclinane.2020.109737
  47. Gürkan Y, Aksu C, Kuş A, Yörükoğlu UH, Kılıç CT. Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: A randomized controlled study. Journal of Clinical Anesthesia. 2018;50:65-68.  https://doi.org/10.1016/j.jclinane.2018.06.033
  48. Wang Q, Zhang G, Wei S, He Z, Sun L, Zheng H. Comparison of the Effects of Ultrasound-guided Erector Spinae Plane Block and Wound Infiltration on Perioperative Opioid Consumption and Postoperative Pain in Thoracotomy. Journal of the College of Physicians and Surgeons — Pakistan: JCPSP. 2019;29(12):1138-1143. https://doi.org/10.29271/jcpsp.2019.12.1138
  49. Altıparmak B, Korkmaz Toker M, Uysal Aİ, Turan M, Gümüş Demirbilek S. Comparison of the effects of modified pectoral nerve block and erector spinae plane block on postoperative opioid consumption and pain scores of patients after radical mastectomy surgery: A prospective, randomized, controlled trial. Journal of Clinical Anesthesia. 2019;54:61-65.  https://doi.org/10.1016/j.jclinane.2018.10.040
  50. Kobayashi R, Mori S, Wakai K, Fukumoto K, Saito T, Katayama T, Nakata J, Fukui T, Ito S, Abe T, Hatooka S, Hosoda R, Mitsudomi T. Paravertebral block via the surgical field versus epidural block for patients undergoing thoracotomy: a randomized clinical trial. Surgery Today. 2013;43(9):963-969.  https://doi.org/10.1007/s00595-012-0485-1
  51. Ueshima H. Pneumothorax after the erector spinae plane block. Journal of Clinical Anesthesia. 2018;48:12.  https://doi.org/10.1016/j.jclinane.2018.04.009
  52. Gao Z, Xiao Y, Wang Q, Li Y. Comparison of dexmedetomidine and dexamethasone as adjuvant for ropivacaine in ultrasound-guided erector spinae plane block for video-assisted thoracoscopic lobectomy surgery: a randomized, double-blind, placebo-controlled trial. Annals of Translational Medicine. 2019;7(22):668.  https://doi.org/10.21037/atm.2019.10.74
  53. Altıparmak B, Korkmaz Toker M, Uysal Aİ, Gümüş Demirbilek S. Comparison of the efficacy of erector spinae plane block performed with different concentrations of bupivacaine on postoperative analgesia after mastectomy surgery: ramdomized, prospective, double blinded trial. BMC Anesthesiology. 2019;19(1):31.  https://doi.org/10.1186/s12871-019-0700-3
  54. Selvi O, Tulgar S. Ultrasound guided erector spinae plane block as a cause of unintended motor block. Revista Espanola de Anestesiologia y Reanimacion. 2018;65(10):589-592.  https://doi.org/10.1016/j.redar.2018.05.009
  55. Karaca O, Pinar HU. Is high dose lumbar erector spinae plane block safe? Journal of Clinical Anesthesia. 2020;62:109721. https://doi.org/10.1016/j.jclinane.2020.109721
  56. Sullivan TR, Kanda P, Gagne S, Costache I. Harlequin Syndrome Associated with Erector Spinae Plane Block. Anesthesiology. 2019;131(3):665.  https://doi.org/10.1097/ALN.0000000000002733
  57. Elkoundi A, Eloukkal Z, Bensghir M, Belyamani L. Priapism following erector spinae plane block for the treatment of a complex regional pain syndrome. The American Journal of Emergency Medicine. 2019 April;37(4): 796.e3-796.e4.  https://doi.org/10.1016/j.ajem.2019.01.012
  58. Aksu C, Kuş A, Yörükoğlu HU, Tor Kılıç C, Gürkan Y. Analgesic effect of the bi-level injection erector spinae plane block after breast surgery: A randomized controlled trial. The Journal of the Turkish Society of Algology. 2019;31(3):132-137.  https://doi.org/10.14744/agri.2019.61687
  59. Mostafa SF, Abdelghany MS, Abdelraheem TM, Abu Elyazed MM. Ultrasound-guided erector spinae plane block for postoperative analgesia in pediatric patients undergoing splenectomy: A prospective randomized controlled trial. Paediatric Anaesthesia. 2019;29(12):1201-1207. https://doi.org/10.1111/pan.13758
  60. Singh S, Kumar G, Akhileshwar. Ultrasound-guided erector spinae plane block for postoperative analgesia in modified radical mastectomy: A randomised control study. Indian Journal of Anaesthesia. 2019;63(3):200-204.  https://doi.org/10.4103/ija.IJA_758_18
  61. Yao Y, Li H, He Q, Chen T, Wang Y, Zheng X. Efficacy of ultrasound-guided erector spinae plane block on postoperative quality of recovery and analgesia after modified radical mastectomy: randomized controlled trial. Regional Anesthesia & Pain Medicine. 2020;45(1):5-9. First published November 02, 2019. https://doi.org/10.1136/rapm-2019-100983

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