BIOMAT Database Logo BIOMAT Database Logo

Unpredictable Injectate Spread of the Erector Spinae Plane Block in Human Cadavers. 2019

Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
From the Departments of Anesthesiology, Pain and Palliative Medicine.

We performed bilateral ultrasound-guided erector spinae plane blocks at the second and eighth thoracic vertebrae in 11 fresh frozen cadavers. Methylene blue dye spread variably and extensively deep to the erector spinae muscles fascia with involvement of the spinal rami and paravertebral space in 1 of 11 cadavers when injected at the eighth thoracic vertebra, and in 4 of 11 cadavers at the second thoracic vertebra, with crossover to the contralateral side of the spine. Our study demonstrates that in cadavers, an erector spinae plane block follows the fascial planes with unpredictable spread, which might explain its varying clinical efficacy.

UI MeSH Term Description Entries
D007267 Injections Introduction of substances into the body using a needle and syringe. Injectables,Injectable,Injection
D009407 Nerve Block Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain. Chemical Neurolysis,Chemodenervation,Nerve Blockade,Block, Nerve,Blockade, Nerve,Blockades, Nerve,Blocks, Nerve,Chemical Neurolyses,Chemodenervations,Nerve Blockades,Nerve Blocks,Neurolyses, Chemical,Neurolysis, Chemical
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013904 Thoracic Vertebrae A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region. Vertebrae, Thoracic
D018084 Ultrasonography, Interventional The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions. Ultrasonography, Intravascular,Ultrasound, Interventional,Interventional Ultrasonography,Intravascular Ultrasonography,Interventional Ultrasound
D064170 Paraspinal Muscles Deep muscles in the BACK whose function is to extend and rotate the SPINE and maintain POSTURE. It consists splenius, semispinalis, multifidus, rotatores, interspinales, intertransversarii and sacrospinalis. Deep Muscles of the Back,Interspinales,Intertransversales,Intertransversarii,Intrinsic Muscles of the Back,Multifidus,Rotatores,Sacrospinalis Iliocostalis,Sacrospinalis Longissimus,Sacrospinalis Spinalis,Semispinalis,Splenius,Iliocostali, Sacrospinalis,Iliocostalis, Sacrospinalis,Interspinale,Intertransversale,Intertransversarius,Longissimus, Sacrospinalis,Muscle, Paraspinal,Muscles, Paraspinal,Paraspinal Muscle,Rotatore,Sacrospinalis Iliocostali,Sacrospinalis Spinali,Semispinali,Spinali, Sacrospinalis,Spinalis, Sacrospinalis

Related Publications

Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Injectate spread in erector spinae plane block.
January 2019, Anaesthesia,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Ultrasound-guided erector spinae plane block in canine cadavers: relevant anatomy and injectate distribution.
March 2020, Veterinary anaesthesia and analgesia,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
A novel "double-dye" technique to determine the injectate spread of bolus versus continuous infusion in erector spinae plane block in cadavers.
January 2023, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Local anesthetic spread during erector spinae plane block.
August 2018, Journal of clinical anesthesia,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Bilateral erector spinae plane block (ESPB) epidural spread.
January 2019, Regional anesthesia and pain medicine,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Influence of injectate volume on paravertebral spread in erector spinae plane block: An endoscopic and anatomical evaluation.
January 2019, PloS one,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Description of an ultrasound-guided erector spinae plane block and the spread of dye in dog cadavers.
July 2019, Veterinary anaesthesia and analgesia,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
The Erector Spinae Plane Block.
January 2017, Regional anesthesia and pain medicine,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
Phenol spread in erector spinae plane block for cancer pain.
August 2020, Regional anesthesia and pain medicine,
Karin H W Dautzenberg, and Marissa J Zegers, and Chris P Bleeker, and Edward C T H Tan, and Kris C P Vissers, and Geert-Jan van Geffen, and Selina E I van der Wal
The Novel Costotransverse Foramen Block Technique: Distribution Characteristics of Injectate Compared with Erector Spinae Plane Block.
June 2020, Pain physician,
Copied contents to your clipboard!