Erector Spine Plane (ESP) block - Live Demo

This Video was filmed by GE Healthcare as Dr Amit Pawa was undertaking a live demonstration on their stand during an international meeting.
In this video, Dr Pawa is talking about approaches to the ESP or Erector Spinae Plane Block.
Note drug doses given here are purely examples of what Dr Pawa uses in clinical practice and do not represent advice to clinicians.

[@rodhoover9158]

Thank you for an outstanding period of instruction!

[@DrAmitPawa]

Thank You so much!

[@user-sb8zr7xk3t]

Thanks our prof for outstanding explanation.

[@DrAmitPawa]

You are most welcome!

[@kaushliyakatechia9511]

Brilliant- will be using this for ESP block teaching this afternoon!!

[@DrAmitPawa]

Thanks so much!

[@akthamelfarnawany6910]

Thank you

[@DrAmitPawa]

Thanks so much

[@dr.hishamabdulmajeed6951]

Excellent demonstration

[@DrAmitPawa]

Thanks so much

[@azgrapefruit]

Very nice description!

[@DrAmitPawa]

Thanks So much!

[@teely16]

I wish our patients anatomy all looks like this…….

[@DrAmitPawa]

Absolutely- so do I. It certainly helps to learn on easier anatomy and then translate that information on to other cases.

Wish it was a 4K video. Amazing showcase of ESP block. Thanks.

[@DrAmitPawa]

Thank you 🙏

@@DrAmitPawa Is it okay to use your ultrasound footage in my presentation? Its tomorrow 😄 . Its so clean to understand.

[@DrAmitPawa]

@ certainly, with appropriate reference and please do invite folks to subscribe to the channel!

@@DrAmitPawa I am 5th year Med Student. Im not sure about that 🥲 . Thank you again

[@DrAmitPawa]

@ i just meant to tell folks to check out my channel if they want to learn about more of plan A blocks and let them know where you got video from, thats all!

[@Jaffa_MD]

You use the word "orientated" but I'll allow it since the rest of the video is wicked dope. Been putting off learning this block for the last 6 months at least. Thanks for finally forcing it into my brain!

[@DrAmitPawa]

Thanks for compliment. Didn’t realise that there was a problem with the word oriented versus orientated - thanks for pointing it out. It was a live demo by the way and not scripted, so a one take phenomenon! Anyway, happy you enjoyed

[@Jaffa_MD]

@@DrAmitPawa the criticism was very much tongue-in-cheek. I totally get the single-take life. Very impressive work, regardless of the circumstances. Looking forward to more! :)

[@SamtaniPradeep]

Thank you very much sir for wonderful demonstration on volunteer, Sir please can you show the transverse approach to ESP block too??

[@DrAmitPawa]

Thank You. If there is appetite for that, I can surely do that!

[@paulgilbert2506]

Did I miss the part where you ACTUALLY POINT OUT the EXACT plane you are injecting?

[@DrAmitPawa]

If it was not clear, apologies. Please do check out this video for a more precise discussion on this kzbin.info/www/bejne/e3unc6GwhMugo9Usi=lWsA-0FEKkRKxXzD

[@SamtaniPradeep]

Sir please put some videos on newer sacral ESP and cervical ESP blocks. Thanks in advance Sir

[@DrAmitPawa]

Will aim to address this soon I hope 🤞🏽

[@Weiyang5268]

👌🌹1:57. 2:00 縱置探頭，約當T7處，菱肌便會消失於畫面，同時2:02開始將探頭向內側中線平移，盯著肋骨表面觀察，便會出現豎脊肌的質塊貼在肋骨上層，探頭繼續向中線平移的過程，肋骨表層2:25的回音漸變出現在稍深層，最後消失時，脊椎的橫突2:28高回音便出現在豎脊肌的下層。 2:34 斜方肌質～菱肌肌質～豎脊肌質( 探頭越平移往中線，豎脊肌越厚 ) 2:49 在此 (近中線)的矢面橫突掃描的畫面中，做erector spine plane 的注射 2:59 第一步，先在該節橫突表面的豎脊肌表層注射。 3:12再注射於橫突與豎脊肌相交的界面

[@DrAmitPawa]

Thanks for such a detailed review of my video! 🙏🏽🙏🏽

[@hishighnessab5540]

For pancreatitis pain relief which side should be blocked?

[@DrAmitPawa]

Great question! I would do bilateral - check out these case reports www.asra.com/docs/default-source/events-education-documents/raapm21/abstract-2058.pdf?sfvrsn=2b52522c_4#:~:text=ESPBs%20at%20T8%2F9%20results,that%20form%20the%20celiac%20plexus.&text=Acute%20pancreatitis%20is%20a%20recurrent,patients%20are%20not%20opioid%20na%C3%AFve.

[@BLACK.SHADOW592]

I'm non medico i curious that is that really dead body ?

[@DrAmitPawa]

It is a live model