Ultrasound guided low thoracic erector spinae plane block for postoperative analgesia in radical retropubic prostatectomy, a new indication

Erector spinae plane block (ESP) is a recently described regional anesthesia technique used for thoracic neuropathic pain [1] and more recently in thoracic, breast and upper abdominal surgeries [2,3]. When performed at the level of the 8th thoracic vertebra, the local anesthesia administered in ESP block has been demonstrated to spread both cranially and caudally in the paravertebral space between C7-T2 and L2 –3 [3]. On the other hand, multiple paravertebral block performed at the lower thoracic level (T10-11-12) for retropubic prostatectomies is reported to lead to effective postoperative analgesia [4].
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research