Evaluation of Erector Spina Plane Block(ESPB)'s Effectiveness on Patients With Lumbar Radiculopathy
Status:
Recruiting
Trial end date:
2022-11-30
Target enrollment:
Participant gender:
Summary
A new regional anaesthetic block technique is described in this issue of Anaesthesia by Chin
et al. whereby local anaesthetic is injected within a plane beneath the erector spinae muscle
to achieve analgesia for abdominal surgery. After this the block has been used successfully
for many implications such as post-herpetic neuralgia, thoracic and abdominal chronic or
acute pain management, rib fractures, breast surgery, chronic cancer pain and etc. Cadaveric
and radiologic data showed that contrast injected into the tissue plane deep to erector
spinae muscle and superficial to the transverse processes and intertransverse connective
tissues penetrates anteriorly to anesthetize the spinal nerves. And some cadeveric studies
resulted with where both the dorsal and ventral rami of the thoracic spinal nerves were
marked with dye after ESPB. Some studies even showed that dye reached to the epidural space.
In this manner we we hypothesize that ESPB could be effective with radiculopathy pain.