Erector Spinae Plane (ESP) Block: a New Paradigm in Regional Anesthesia and Analgesia

Ki Jinn Chin, Sanjib Das Adhikary, Mauricio Forero

Research output: Contribution to journalReview articlepeer-review

41 Scopus citations


Purpose of Review: The erector spinae plane (ESP) block is an ultrasound-guided regional anesthesia technique that has enjoyed unprecedented popularity since its description in 2016. This review summarizes the applied anatomy, technical performance, and clinical application of the ESP block. Recent Findings: Dissection and imaging studies indicate that paravertebral local anesthetic spread is a primary mechanism of action of the ESP block. A large volume of case report literature supports its efficacy in myriad clinical settings, including thoracic surgery, thoracic trauma, cardiac surgery, abdominal surgery, spine surgery, and painful conditions of the upper and lower limbs. Several randomized controlled trials have also been published that report significant analgesic benefit compared with systemic analgesia alone. Summary: The ESP block is a highly effective and versatile technique for the management of acute and chronic pain. Further studies are needed to definitively determine its efficacy compared with more established techniques.

Original languageEnglish (US)
Pages (from-to)271-280
Number of pages10
JournalCurrent Anesthesiology Reports
Issue number3
StatePublished - Sep 15 2019

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine


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