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Efficacy of bilateral erector spinae plane block in the management of pain: current insights

Authors Tulgar S, Ahiskalioglu A, De Cassai A, Gurkan Y

Received 15 February 2019

Accepted for publication 6 August 2019

Published 27 August 2019 Volume 2019:12 Pages 2597—2613


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 5

Editor who approved publication: Dr E Alfonso Romero-Sandoval

Serkan Tulgar,1 Ali Ahiskalioglu,2 Alessandro De Cassai,3 Yavuz Gurkan4

1Department of Anesthesiology and Reanimation, Faculty of Medicine, Maltepe University, Istanbul, Turkey; 2Department of Anaesthesiology and Reanimation, School of Medicine, Ataturk University, Erzurum, Turkey; 3Section of Anaesthesiology and Intensive Care, Department of Medicine (DIMED), University of Padua, Padua, Italy; 4Department of Anesthesiology and Reanimation, Faculty of Medicine, Koç University, Istanbul, Turkey

Correspondence: Serkan Tulgar Fakültesi Maltepe, Üniversitesi Hastanesi, 39 Feyzullah Caddesi, Maltepe, Istanbul, Turkey
Tel +90 505 542 3985

Abstract: Erector spinae plane block (ESPB) is a newly described interfascial plane block, and the number of articles on the bilateral application of ESPB is increasing in the literature. In this paper, in addition to analyzing bilateral ESPB cases and studies published so far, we aimed to review the relevant anatomy, describe the mechanism of spread of the injectant, demonstrate varying approaches to ESPB, and summarize case reports and clinical trials, as well as provide current insight on this emerging and popular block. Randomized controlled studies, comparative studies of ESPB versus other methods, and pharmacokinetic studies of bilateral applications must be the next step in clearly understanding bilateral ESPB.

Keywords: bilateral erector spinae block, regional anesthesia, interfascial plane blocks

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