The ESP Block - Friend or Foe?

This is a slightly extended version of the talk I gave at the Association of Anaesthetists Webinar on "New blocks Old Blocks: Friend or Foe?" on 19 October 2021, discussing the current role of the ESP block in this context.

[@santop.319]

Congratulations, these presentations are always interesting!

[@aliahiskalioglu]

Excellent presentation many thanks

[@camosquid5114]

Thanks for the continued relevant and informative scholarship. For ESPB, it works pretty well but the duration is about 6 hours empirically for thoracic/rib fix indications despite epinephrine and decadron. It needs catheters to be of meaningful duration.

[@KiJinnChin]

You are absolutely right. The effective analgesic duration (depends somewhat on setting) for single-injection blocks (most fascial plane blocks) is indeed 6-12h. So for any condition where severe pain is likely to last for days vs hours (I have seen one reference indicating rib fracture pain peaks at 5 days), a catheter is definitely indicated.

[@christodoulosamorgianos3643]

Very nice presentation…thanks a lot…very interesting topic…

[@teely16]

Great choice of pudding!

[@MrGamal58e]

What’s about ESPB for painless labour?

[@devendarjain7037]

you ok bro ?

[@HomoNeuraxis]

I personally would not. Mainly because you cannot get surgical anesthesia in case the labour fails and the gyno proceeds with a c sec.