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The erector spinae plane block (ESPB) is one of seven 'Plan A' blocks proposed by Regional Anaesthesia UK, covering the key areas of commonly encountered surgeries and acute pain. Unlike the other six blocks, the ESPB can be performed at all levels of the spine and provides analgesia to most regions of the body, leading to the argument that the ESPB is the ultimate Plan A block. Current studies show a high level of evidence supporting use in thoracoabdominal surgery but a lack of benefit in upper and lower limb surgery compared with local infiltration and other Plan A blocks. Thus, there is insufficient evidence to support the claim that the erector spinae plane block is the ultimate Plan A block.
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http://dx.doi.org/10.1016/j.bja.2023.01.012 | DOI Listing |
World J Urol
September 2025
Department of Urology, Hospital Clínico San Borja Arriarán, Santiago, Chile.
Purpose: Percutaneous nephrolithotomy (PCNL) is a common technique in the surgical management of renal lithiasis, but it also represents a significant workload for surgeons. Factors such as the patient's position and the type of lithotripter used influence the physical and mental load on the surgeon. The study aimed to identify stressors related to PCNL by comparing the physical and mental workload experienced by urologists during PCNL under different patient positions and using two lithotripters.
View Article and Find Full Text PDFReg Anesth Pain Med
September 2025
Department of Anesthesiology and Reanimation, Ministry of Health Ankara Bilkent City Hospital, Ankara, Turkey.
J Pain Res
September 2025
Department of Orthopaedics, Lanzhou University Second Hospital, Lanzhou, Gansu, 730000, People's Republic of China.
Background: This systematic review and meta-analysis was performed to assess the relative efficacy of paravertebral block (PVB) and erector spinae plane block (ESPB) for postoperative analgesia and recovery.
Methods: Randomized controlled trials (RCTs) evaluating PVB and ESPB for postoperative analgesia and recovery were retrieved from databases, including PubMed, Embase, MEDLINE, Cochrane Library, Science-Direct, and Google Scholar, from inception to January 2025. The primary outcome included resting Visual Analogue Scale (VAS) at 6 h and quality of recovery (QoR) score in first 24 h.
Rev Esp Anestesiol Reanim (Engl Ed)
September 2025
Department of Anesthesiology, Sree Balaji Medical College & Hospital, BIHER, Chennai, India.
Rev Esp Anestesiol Reanim (Engl Ed)
September 2025
Mch Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, India.
Background: It is crucial to assess a patient's quality of recovery after major surgery. This study aims to compare the effect of neuraxial morphine and bilateral erector spinae plane block on quality of recovery in the first 48 postoperative hours in patients undergoing open upper abdominal surgeries.
Methods: This prospective, triple-arm, randomized study was performed to compare the effect of neuraxial morphine (intrathecal morphine, thoracic epidural) and erector spinae plane block on postoperative recovery.