Erector Spinae Plane Block - RA-UK Webinar version

This Video was delivered as part of the RA-UK Webinar series on Plan-A Blocks on the 19th September 2023. The session was chaired by Prof Alan Macfarlane, featured an introduction by Prof Ed Mariano, and had a second talk on rib fracture regional anaesthesia delivered by Dr Nadia Hernandez. In the talk featured here, Dr Pawa discusses the Indications, contraindications, Anatomy, Sonoanatomy, complications and tips and tricks for the ESP Block!
Enjoy

[@drshukla14]

Thanks! Please know that your work helps patients in emergency departments immensely. The quality of your presentation is simply outstanding.

[@DrAmitPawa]

Wow - thank you so much for this wonderful feedback. I really appreciate it- please do share the knowledge 🙏🏽

[@daviddenman1438]

The definitive ESB talk! Thank you

[@DrAmitPawa]

Thanks so much! That is so kind of you! Please feel free to share. Appreciate your support!

[@fantfox]

Extremely elaborated and helpful! Thank you very much!

[@DrAmitPawa]

Thank you so much

[@azgrapefruit]

Brillant presentation ….many thanks for your work!

[@DrAmitPawa]

Many thanks! - thanks for watching

[@drandrewtan]

Great presentation as always! Thanks very much!

[@DrAmitPawa]

Thank you so much for watching it. So happy that it was useful!

[@zakalobi80]

Very useful presentation. Thanks.

[@DrAmitPawa]

@@zakalobi80 thank you 🙏🏽

[@paanmelaka]

thank you

[@DrAmitPawa]

You're welcome. Thanks for watching!

[@drcandybonsu995]

Very lovely presentation. Thank you

[@DrAmitPawa]

Thank you so much for taking the time to watch it. I really appreciate your feedback

[@MacchiatoSwirlGirl]

I am having my block on This week. They're putting me asleep though, thank God. I suffer bad anxiety. Ive had a swollen rib left side about 7th rib they say. Four years suffering after ACDF surgery went horribly wrong. It's right under my breast. Terrified but more terrified of the mental stress it's had me under. Can't keep going like this

[@DrAmitPawa]

I wish you all the best for your procedure

[@azgrapefruit]

So is the ESP block only suitable for posterior and lateral pain control or can it reliably extend to anterior chest and abdomen locations?

[@DrAmitPawa]

Sadly - the there is nothing “reliable” about the anterior spread unless you make an intentional injection in the InterTransverse Process plane initially.
This is why some folks don’t like it all.

[@chriswong7075]

Is it possible to place a catheter into the ITP space?

[@DrAmitPawa]

@@chriswong7075 although this is not something I personally do, it is something that has been done and published

[@davidcattell1918]

Can this be used before or after CABG? My back muscle pain was far worse than chest pain? Can the block provide long lasting relief (days/weeks or only hours)? The pain is from spending so much time on back after surgery, despite regular mobility.

[@DrAmitPawa]

There may be some utility there. Generally speaking the block will last as long as long as the duration of the drug (