- •Pain management is vital for fast-tracking in cardiac surgery
- •Opioids are traditional cornerstone due to risk associated with use of neuraxial block
- •Due to the opioid crisis, interfascial plane blocks have emerged as an alternative
- •Erector Spinae plane Block (ESPB) is a newer block with little evidence of its efficacy in cardiac surgery
- •ESPB drastically reduced analgesic consumption, sedation, and duration of mechanical ventilation
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- Evaluation of ultrasound-guided erector spinae plane block for post-operative management of video-assisted thoracoscopic surgery: A prospective, randomized, controlled clinical trial.J Thorac Dis. 2020; 12: 4174-4182
- Erector spinae plane block for open-heart surgery: A potential tool for improved analgesia.J Cardiothorac Vasc Anesth. 2019; 33: 376-377
- Ultrasound-guided pecto-intercostal fascial block for postoperative pain management in cardiac surgery: A prospective, randomized, placebo-controlled trial.J Cardiothorac Vasc Anesth. 2021; 35: 896-903
- The erector spinae plane block: A novel analgesic technique in thoracic neuropathic pain.Reg Anesth Pain Med. 2016; 41: 621-627
- Bilateral erector spinae plane block for acute post-surgical pain in adult cardiac surgical patients: A randomized controlled trial.J Cardiothorac Vasc Anesth. 2019; 33: 368-375
- Ultrasound-guided erector spinae block for post-operative analgesia in thoracotomy patients: A prospective, randomized, observer-blind, controlled clinical trial.Ain-Shams J Anesthesiol. 2020; 12: 1-7
- The effect of ultrasound-guided erector spinae plane block on postsurgical pain: A meta-analysis of randomized controlled trials.BMC Anesthesiol. 2020; 20: 99-110
- Paravertebral by proxy—Time to redefine the paravertebral block.Anaesthesia. 2018; 73: 1185-1188
- Does erector spinae plane block have a visceral analgesic effect?: A randomized controlled trial.Sci Rep. 2020; 10: 8389
- Influence of injectate volume on paravertebral spread in erector spinae plane block: An endoscopic and anatomical evaluation.PLoS One. 2019; 14e0224487
- Demystifying opioid conversion calculations: A guide for effective dosing.American Society of Health-System Pharmacists, Bethesda, MD2009
- Novel approaches in pain management in cardiac surgery.Curr Opin Anaesthesiol. 2015; 28: 89-94
- The effect of erector spinae plane block on respiratory and analgesic outcomes in multiple rib fractures: A retrospective cohort study.Anaesthesia. 2019; 74: 585-593
- Ultrasound-guided erector spinae plane block for post-operative analgesia: A meta-analysis of randomized controlled trials.BMC Anesthesiol. 2020; 20: 83-92
- Analgesic efficacy of erector spinae block in comparison to thoracic epidural anesthesia in patients undergoing transthoracic esophageal surgical procedure.Res Opin Anesth Intensive Care. 2020; 7: 124-130
- Ultrasound-guided continuous thoracic erector spinae plane block within an enhanced recovery program is associated with decreased opioid consumption and improved patient post-operative rehabilitation after open cardiac surgery—A patient-matched, controlled before-and-after study.J Cardiothorac Vasc Anesth. 2019; 33: 1659-1667
- Comparison of continuous thoracic epidural analgesia with bilateral erector spinae plane block for perioperative pain management in cardiac surgery.Ann Card Anaesth. 2018; 21: 323-327
- Ultrasound-guided erector spinae plane block in patients undergoing open epigastric hernia repair: A prospective randomized controlled study.Anesth Analg. 2019; 129: 235-240
Manazir Athar, MD, DNB, and Sania Parveen, MD, approved the final manuscript and attest to the integrity of the original data and the analysis reported in this manuscript.
The authors were involved in the preparation of this article as follows: concept and design, M.A., S.P.; data collection and/or processing, M.A., O.A., F.N., S.A.; analysis and/or interpretation, M.A., S.P., M.Y., A.H.; writing of manuscript, M.A., S.P., O.A., F.N., S.A.; critical review, M.A., S.P., M.Y., A.H., O.A., F.N., S.A.; supervision, M.A., S.P., M.Y., A.H.; materials/resources, M.A., S.P., O.A., F.N., S.A.