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- Title
Is lumbar erector spinae plane block (L-ESPB) a lumbar plexus block?: a case report of three cases.
- Authors
Jadon, Ashok; Sahoo, Rajendra Kumar; Sharma, Santosh Kumar
- Abstract
Background: Lumbar erector spinae plane block (L-ESPB) is being used in fractured hip patients for the postoperative pain relief and as a sole anesthetic technique. Various clinical and cadaveric studies have differences of opinion about its mechanism of action and pathways of local anesthetic spread; however, the role of lumbar plexus (LP) in the mechanism of action is still not considered. In our clinical experience, we observed that the action on LP could be a pathway for the analgesic action of local anesthetic along with paravertebral spread. Case presentation: We report here three cases of the fractured hip who were given L-ESPB for postoperative pain management. The radiological examination was done after injection of non-ionic contrast to know the spread of local anesthetic. In two cases, the contrast spread was seen towards LP and in one case spread of contrast was observed towards the paravertebral area. Conclusions: Effect of local anesthetic on the lumbar plexus is one of the plausible pathways in L-ESPB for its analgesic mechanism of action.
- Subjects
ERECTOR spinae muscles; LOCAL anesthetics; POSTOPERATIVE pain; PAIN management; POSTOPERATIVE care
- Publication
Ain Shams Journal of Anesthesiology, 2022, Vol 14, Issue 1, p1
- ISSN
1687-7934
- Publication type
Article
- DOI
10.1186/s42077-021-00208-9