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Abstract
Please confirm that an ethics committee approval has been applied for or granted: Not relevant
Background and Aims Erector Spinae Plane Block (ESPB) was introduced in 2016 as an analgesic block for thoracic neuropathic pain. Later, it was incorporated as one of the technics of multi-modal analgesia for peri-operative pain control in thoracic surgeries. Following that Lumbar ESPB emerged, which is widely being used as an analgesic & anesthetic block for spine, abdomen, inguinal and lower limb surgeries. Recent development is Sacral ESPB which is being used as an analgesic and anesthetic block for Ano-rectal, sacral, and hip surgeries. We would like to explore further on the anesthetic potential of sacral ESPB, as it is a novel technic, and it can be beneficial in high-risk patients for the conventional methods of Anesthesia.
Methods We reviewed all the articles which were published about Sacral ESPB, as an anesthetic block. We could find a Single-Centre Retrospective Cohort Feasibility Study which included 10 patients who underwent sacral reconstructive surgeries, as case report which included 2 patients who underwent ano-rectal surgeries and another case report which included a patient who underwent hip surgery, solely under sacral erector spinae plane block.
Results All the above patients tolerated the procedures very well with minimal sedation and they had effective post-operative analgesia as well.
Sacral Erector Spinae Plane Block
Conclusions Sacral erector spinae plane block can be effectively used as an anesthetic technic in patients undergoing sacral, anorectal & hip surgeries. However, most of the information is available only from case reports. We need further RCTs to establish their effectiveness as an anesthetic block.