Erector Spinae Plane Block for post-operative analgesia in lumbar spine surgeries

Abstract

ain is an everyday challenge during all surgeries and it is a chief postoperative complication, so pain management is a corner stone in anesthetic practice. Lumbar spine surgeries are usually associated with acute postoperative pain and restricted mobility. Ultrasound guided nerve block is considered a recent technique for pain management. It provides better visualization of the nerves and reduces the risk for complications e.g. unintended injury to adjacent structures. ESPB is a new technique for providing postoperative analgesia after lumbar spine surgery that relies upon injecting local anesthetic under the erector spinae muscle and into the interfacial plane between this muscle and the transverse processes so it is devoid of major adverse effects like pneumothorax, spinal cord trauma. The present study was designed to assess the analgesic efficacy and safety of ultrasound guided ESPB done at lumbar transverse process level in patients undergoing lumbar spine surgeries for postoperative analgesia. The study was conducted in Ain Shams university Hospitals after approval of the ethics committee and written patients’ consent.