In this video, we discuss the anatomy, mechanism, and technique for thoracic and lumbar ESP block, and share some tips for success when performing this block
Пікірлер: 46
@deman6012 жыл бұрын
Thank you-your vídeos are extremely well done and your tips and pearls are helpful and pertinent to actual practice-other video producers should learn from you!
@nathanek65983 ай бұрын
Excellent tutorial, great visuals and narration!
@winterpark02 Жыл бұрын
Excellent teacher . Great presentation
@keithh7510 Жыл бұрын
Love that smoke narration!
@Joclaim12 жыл бұрын
Great presentation. Well done
@gabrun54418 ай бұрын
Excellent video and very well explained
@ahmadtga13 жыл бұрын
Excellent presentation
@drtanveerahmed45853 жыл бұрын
ESP block is Darling ...One Block covers everything. So beautiful.
@tazkirah88 Жыл бұрын
Did u hv experience ESP for lower limb surgeries?
@thesimplewonders19182 жыл бұрын
Very helpful thank you so much
@francoislouw6764 Жыл бұрын
Excellent video on ESP. This general technique is also helpful in interventional treatments for chronic pain (eg. thoracic facet syndrome/ costotransverse joint pathology).
@loyalcynic7722 жыл бұрын
great video
@dcDOC193 жыл бұрын
I had no idea the ESP was useful for abdominal surgery... Very cool! Thanks!
@tazkirah88 Жыл бұрын
I've done ESP for laparotomy n bowel resection.. I would say, excellent as I didn't give any morphine intra-op
@paanmelaka4 ай бұрын
@@tazkirah88may i know how much volume and drug concentrations you usually use? thank you
@SamtaniPradeep Жыл бұрын
Excellent video presentation Sir. Make us fall in love with ESP in just 8minutes Thanks a tonne Sir
@raimundonascimento28613 жыл бұрын
Show! 👏🏾 👏🏾 👏🏾 👏🏾
@hishighnessab554011 ай бұрын
Thanks for the informative video. For pancreatitis pain relief which side should be blocked?
@sthakur669013 жыл бұрын
thanks
@kimyuichii43033 жыл бұрын
will it be also effective for chest wall lesion post-herpetic neuralgia?
@GeneCircuit Жыл бұрын
If the TP is difficult to visualize, but the rib slightly lateral to the TP is super easy to see, if you choose to inject instead on top of the rib, how effective would this be? Would you block dorsal rami and miss the paravertebral space spread? Or would you get roughly equal efficacy compare to ESP?
@SamtaniPradeep Жыл бұрын
Sir can you make videos on newer Sacral ESP and Cervical ESP blocks?? It'll be a lot of help to us Sir
@jxij999 ай бұрын
Perfect
@regionalanesthesiology9 ай бұрын
Thanks!! Appreciate you watching!
@tazkirah88 Жыл бұрын
Do u have any experience using ESP for lower limb surgeries? Especially ESP as whole anaesthesia, not as analgesia?
@alvaroalfaro94783 ай бұрын
Is the erector spinar plane continuous to the retrolaminar region more medially? If so, would placement of a retrolaminar block also work just about as well with lesser chance of penetrating past bone since the laminae provide a continuous row of bone with much smaller gaps? You would simply stay closer to midline. I've read about use of retrolaminar block in pain clinic but never as applied for postop pain. Thanks
@mahdijallad23722 жыл бұрын
How long does analgesia after a single shot last? Do you use any adjunctive meds to enhance quality and prolong duration of the block? Would you use Exparel with this block? Thank you!
@tropiex20972 жыл бұрын
Olso I’m interested to this answer!
@var31803 жыл бұрын
how is your needle visualised so well at that angle with the lumbar example?
@asyahmi37323 жыл бұрын
My toughts exactly.. what type of needle is that
@chachachachaching3 жыл бұрын
I think the curvilinear probe certainly helps
@josefstrenk85972 жыл бұрын
Is ESP worth as single shot? How long does the analgesia last without a catheter?
@drsevrin1002 жыл бұрын
Would an L3 block work for sciatica pain?
@camosquid51142 жыл бұрын
Have you used exparel for Thoracic level ESP blocks? Any issues of Exparel or marcaine behaving like an epidural?
@nishabindu82903 жыл бұрын
Beautiful presentation... Just a question?? Why is that the needle not that clearly visible ??
@JustSayN2O3 жыл бұрын
Have you been administering bilateral blocks for, say, non-robotic (!) open abdominal surgery?
@tazkirah88 Жыл бұрын
I've done it for open midline laparotomy. Good visceral pain coverage too, no morphine required intra-op.
@mamont5943Ай бұрын
After an ESPB how long until you can drive?
@shimaghedia95512 жыл бұрын
Thank you very clear and informative!
@SamtaniPradeep Жыл бұрын
Sir can you share some reference articles where 30ml volume spreads to 8 Thoracic levels and 4 Lumbar levels is mentioned?? Thanks in advance Sir
@SamtaniPradeep Жыл бұрын
@@regionalanesthesiology Thank you very much Sir
@charlieclark30292 жыл бұрын
Which probe and which machine is that? Specifically which curvilinear probe and which linear probe? Our curvilinear looks nowhere near that clear
@dr.shantanumallick164310 ай бұрын
Actually this is paravertebral block. because ES muscle is supplied by dorsal rami. How come blocking Dorsal rami you can block the pain from the structures which are supplied by ventral rami. So, anatomically you are definitely blocking both the rami. That's why it's better to say paravertebral block. Better to give epidural to get better effect with less dose. Can you achieve the same effect giving 5ml in ES block which is possible with that less dose in epidural?
@regionalanesthesiology9 ай бұрын
Thanks for your insightful comments! Yes, agree, one of the proposed mechanisms for how the ESP block works is spread of local anesthetic to the ventral (anterior) side of the transverse process, which is essentially the paravertebral space. Some have called this the "paravertebral by proxy". There are still lots of unanswered questions about volume and dosing. For example, if I put 5 ml in the true paravetebral space, I can definitely expect to get a dense block of that nerve root (both rami). I don't believe 5 mL placed as an ESP block would do that...which is why we use so much volume in ESP blocks. Thanks for watching!
@zakalobi80 Жыл бұрын
In upper abdominal surgery, we inject at T7 level. I see colleges inject at multiple levels. Any comments?