Table 2

Local anesthetic techniques for ESPB and analgesic regiments of included studies

Author/yearPre-incisional analgesiaSurgical analgesiaSupplemental postoperative analgesiaESPB
Block timingBlock technique
1. Unilateral
2. Bilateral
3. LA between rhomboideus major and erector spinae
4. LA below erector spinae and above transverse process
Level of blockLocalizationAssessment of block successESPB bolus
Gürkan 201856 NoneFentanyl 2 mcg/kg IV Paracetamol 1 g IV; tramadol 100 mg IV; PCA morphinePreop1, 4T4 USG No 20 mL 0.25% bupivacaine
Aksu 201951 NoneFentanyl 2 mcg/kg IV Paracetamol 1 g IV; tramadol 100 mg IV; PCA morphinePreop1, 4T2 and T4 USG No 20 mL 0.25% bupivacaine
Arora 201937 N/SFentanyl 0.5 mcg/kg-1 mcg/kg IV PCA morphinePreop1, 4T5 USG Yes 0.4 mL/kg 0.5% ropivacaine
Singh 201954 NoneMorphine 0.1 mg/kg IV Diclofenac 1.5 mg/kg IV q8h; morphine 3 mg IV prnPreop1, 4T5 USG Yes 20 mL 0.5% bupivacaine
Wang 201910 1 mcg/kg DexmedSufentanil 0.4 mcg/kg IV; remifentanil 3.5 ng/mL to 4.5 ng/mL IV Flurbiprofen 50 mg PO prn; sufentanil 5 mcg IV prn; PCA sufentanilPreop1, 4T4 and T5 USG N/S 20 mL 0.375% ropivacaine
Divatia 202048 *N/SFentanyl 0.5 mg/kg IV Paracetamol 15 mg/kg IV q8h; fentanyl IV prnIntraop1,4T5 USG Yes 20 mL 0.25% bupivacaine
Gupta 202049 *0.5 mcg/kg/hr DexmedFentanyl 2 mcg/kg (if no block); ketamine 10 mg bolus (if block) PCA morphinePreop1, 4T5 USG N/S 30 mL 0.5% ropivacaine
Gürkan 20204 NoneFentanyl 2 mcg/kg IV; tramadol 100 mg IV; paracetamol 1 g IV Paracetamol 1 g IV q6h; PCA morphinePreop1, 4T4 USG No 20 mL 0.25% bupivacaine
He 202055 N/SN/S Flurbiprofen 50 mg IV prnPreop1,4T3 USG N/S 20 mL 0.5% ropivacaine
Marzouk 202050 *N/SN/S PCA morphinePreop1,4T4 or T5 USG N/S 40 mL 0.375% ropivacaine
Seelam 202052 NoneFentanyl 0.5 mcg/kg to 1 mcg/kg IV; paracetamol 1 g IV Paracetamol 1 g IV q8h; morphine 2 mg to 3 mg IV prnPreop1, 4T4 USG No 30 mL 0.25% bupivacaine
Yao 202053 Flurbiprofen 50 mg IVSufentanil 0.5 mcg/kg IV; flurbiprofen 50 mg IV q8h Flurbiprofen 50 mg q8h; sufentanil 2 mcg IV prn PCA sufentanilPreop1, 4T4 USG No 25 mL 0.25% ropivacaine
  • *Study from clinical trials registry.

  • Dexmed, dexmedetomidine; ESPB, erector spinae plane block; h, hour; Intraop, intraoperative; IV, intravenous; LA, local anesthesia; mcg, microgram; min, minute; mL, milliliter; ng, nanogram; N/S, not specified; PCA, patient-controlled analgesia; Preop, preoperative; prn, as needed; q, every; USG, ultrasound guidance.