Tulgar Serkan, Aydin Muhammed Enes, Ahiskalioglu Ali, De Cassai Alessandro, Gurkan Yavuz
Maltepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
Ataturk University School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.
Local Reg Anesth. 2020 Sep 25;13:121-133. doi: 10.2147/LRA.S233274. eCollection 2020.
Defined in the last decade, erector spinae plane block (ESPB) is one of the more frequently used interfacial plans, and it has been the most discussed block among the recently defined techniques. Lumbar ESPB administered at lumbar levels is relatively novel and is a new horizon for regional anesthesia and pain practice. In this article, we aim to explain and introduce different approaches and explain the possible mechanism of action of lumbar ESPB. The objective of this review is to analyze the case reports, clinical and cadaveric studies about lumbar ESPB that have been published to date. We performed a search in "Pubmed" and "Google Scholar" database. After a selection of the relevant studies, 59 articles were found eligible and were included in this review. While we believe that lumbar ESPB is reliable and easy, we suggest that its efficacy and indications should be verified with anatomical and clinical studies, and its safety should be confirmed with pharmacokinetic studies. Moreover, the possibility of complications must be considered.
竖脊肌平面阻滞（ESPB）在过去十年中被定义，是较常用的界面阻滞之一，也是最近定义的技术中讨论最多的阻滞方法。在腰椎水平实施的腰椎ESPB相对较新，是区域麻醉和疼痛治疗领域的一个新方向。在本文中，我们旨在解释和介绍不同的方法，并阐述腰椎ESPB可能的作用机制。本综述的目的是分析迄今为止已发表的关于腰椎ESPB的病例报告、临床和尸体研究。我们在“PubMed”和“谷歌学术”数据库中进行了检索。在筛选出相关研究后，发现59篇文章符合要求并纳入本综述。虽然我们认为腰椎ESPB可靠且操作简便，但我们建议其疗效和适应证应通过解剖学和临床研究加以验证，其安全性应通过药代动力学研究予以证实。此外，必须考虑并发症发生的可能性。
