Fascial plane blocks and chronic pain: Another step towards the future

ESP block is an LR technique that can result in blockade of the dorsal and ventral branches of the spinal nerves, probably by diffusion of local anesthetic to the paravertebral space. The simultaneous injection of local anesthetic would also favor its distribution due to the disruption of connective...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2023-02, Vol.84, p.111010, Article 111010
Main Authors: Fusco, Pierfrancesco, NAZZARRO, Emanuele, Petroni, Gianmarco, Stecco, Carla, Ciaschi, Walter, Marinangeli, Franco
Format: Article
Language:English
Subjects:
Chronic pain
Chronic Pain - therapy
Fascia - diagnostic imaging
Humans
Local anesthesia
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Summary:ESP block is an LR technique that can result in blockade of the dorsal and ventral branches of the spinal nerves, probably by diffusion of local anesthetic to the paravertebral space. The simultaneous injection of local anesthetic would also favor its distribution due to the disruption of connective septa (Fig. 1) that are present in the fascial compartment and that in some cases could explain the failure of the fascial plane blocks, or its partial efficacy as reported by Fusco et al. [...]studies are needed to confirm.Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2022.111010