Erector Spinae Plane Block - Regional anesthesia Crash course with Dr. Hadzic

Erector Spinae Block (ESP) is one of the several new ultrasound-guided local anesthetic infiltration techniques. ESPB was primarily proposed for treatment of the postoperative pain of the thoracoabdominal region. However, its reported indications span from the shoulder to the knee, and anything-in-between, including even chronic neuropathic pain (Tulgar S et al. Cureus 2019).

While the technique is easier to perform than paravertebral blocks, its efficacy has been a matter of considerable debate (Erector spinae plane block: RIP or VIP?). In this video, Dr. Hadzic discusses the anatomical foundations for the ESPB using NYSORA’s Reverse Ultrasound Anatomy©️, so that you can draw your own conclusion on how ESPB varies from the Paravertebral Block, which it aims to replace.

00:00 Introduction
00:22 Technique

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[bilizard]

Got it….turn me loose, after this detailed video I’m now fully prepared to start doing this block on patients.

[juampan]

Hello, thanks for the video. Just as an editor's tip: I would recommend an outro for the video, so the recommended videos don''t show up during the final part of the explanation, just put the logo and some music, for example.

[sajjadqureshi]

Plz give ESP block video demo in detail

[JustSayNO]

Did one today. T2. Because I had to block the axilla of a patient having removal of infected shoulder prosthesis. Interscalene block done first, but patient still had pain in the axilla. The T2 ESB helped lower the axillary pain but not totally. In my opinion since these are not nerve blocks, rather just fascial plane blocks, the result will be analgesia not surgical anesthesia.

[hishighnessab]

For pancreatitis pain relief which side should be blocked?