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De Cassai A, Geraldini F, Freo U, Boscolo A, Pettenuzzo T, Zarantonello F, Sella N, Tulgar S, Busetto V, Negro S, Munari M, Navalesi P. Erector Spinae Plane Block and Chronic Pain: An Updated Review and Possible Future Directions. BIOLOGY 2023; 12:1073. [PMID: 37626959 PMCID: PMC10452136 DOI: 10.3390/biology12081073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 07/25/2023] [Accepted: 07/31/2023] [Indexed: 08/27/2023]
Abstract
Chronic pain is a common, pervasive, and often disabling medical condition that affects millions of people worldwide. According to the Global Burden of Disease survey, painful chronic conditions are causing the largest numbers of years lived with disability worldwide. In America, more than one in five adults experiences chronic pain. Erector spinae plane block is a novel regional anesthesia technique used to provide analgesia with multiple possible uses and a relatively low learning curve and complication rate. Here, we review the erector spinae plane block rationale, mechanism of action and possible complications, and discuss its potential use for chronic pain with possible future directions for research.
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Affiliation(s)
- Alessandro De Cassai
- Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
| | - Federico Geraldini
- Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
| | - Ulderico Freo
- Department of Medicine, University of Padua, 35122 Padua, Italy
| | - Annalisa Boscolo
- Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
- Department of Medicine, University of Padua, 35122 Padua, Italy
- Thoracic Surgery and Lung Transplant Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padua, Italy
| | - Tommaso Pettenuzzo
- Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
| | | | - Nicolò Sella
- Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
| | - Serkan Tulgar
- Department of Anesthesiology and Reanimation, Training and Research Hospital of Samsun, Faculty of Medicine, University of Samsun, 55000 Samsun, Turkey
| | - Veronica Busetto
- Cardiac Surgery Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy
| | - Sebastiano Negro
- Anesthesia and Intensive Care 2, Istituto Oncologico Veneto IRCCS, 35128 Padua, Italy
| | - Marina Munari
- Sant’Antonio Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
| | - Paolo Navalesi
- Anesthesia and Intensive Care Unit, University-Hospital of Padua, 35128 Padua, Italy
- Department of Medicine, University of Padua, 35122 Padua, Italy
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Ekinci M, Ciftci B, Alici HA, Ahiskalioglu A. Long-lasting pain relief with interfascial plane blocks: Key role of opening interfascial adhesions. Korean J Anesthesiol 2020; 74:559-560. [PMID: 33371661 PMCID: PMC8648512 DOI: 10.4097/kja.20650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 12/27/2020] [Indexed: 12/03/2022] Open
Affiliation(s)
- Mürsel Ekinci
- Medipol University Faculty of Medicine, Department of Anesthesiology, Istanbul, Turkey
| | - Bahadir Ciftci
- Medipol University Faculty of Medicine, Department of Anesthesiology, Istanbul, Turkey
| | - Haci Ahmet Alici
- Medipol University Faculty of Medicine, Department of Algology, Istanbul, Turkey
| | - Ali Ahiskalioglu
- Ataturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey.,Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, 25240, Erzurum, Turkey
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Piraccini E, Byrne H. The efficacy of fascial plane blocks for myofascial pain syndrome: do they achieve long-term results? Korean J Anesthesiol 2020; 73:566-567. [PMID: 33271010 PMCID: PMC7714628 DOI: 10.4097/kja.20295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 06/24/2020] [Indexed: 11/18/2022] Open
Affiliation(s)
- Emanuele Piraccini
- Department of Anesthesia, Intensive Care Nord and Pain Management Unit, Bellaria Hospital, Bologna, Italy
| | - Helen Byrne
- Kingsbridge Medical Diagnostics, Kingsbridge Healthcare Group, Belfast, Northern Ireland
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Tulgar S, Aydin ME, Ahiskalioglu A, De Cassai A, Gurkan Y. Anesthetic Techniques: Focus on Lumbar Erector Spinae Plane Block. Local Reg Anesth 2020; 13:121-133. [PMID: 33061562 PMCID: PMC7532310 DOI: 10.2147/lra.s233274] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 09/16/2020] [Indexed: 12/11/2022] Open
Abstract
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.
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Affiliation(s)
- Serkan Tulgar
- Maltepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey
| | - Muhammed Enes Aydin
- Ataturk University School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.,Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey
| | - Ali Ahiskalioglu
- Ataturk University School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.,Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey
| | | | - Yavuz Gurkan
- Koc University, Faculty of Medicine Department of Anesthesiology and Reanimation, Istanbul, Turkey
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