Erector spinae plane block in Caesarean sections: A scoping review
Background: Pain management for Caesarean section focuses on multimodal analgesia with a growing interest in the use of regional techniques. Currently, there is no gold standard peripheral regional analgesia technique for Caesarean section. The Erector Spinae Plane Block is a relatively new fascial...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sja.sja_523_24 |
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| author | Kieran Brosnan Mary Moore Aisling Ní Eochagáin |
| author_facet | Kieran Brosnan Mary Moore Aisling Ní Eochagáin |
| author_sort | Kieran Brosnan |
| collection | DOAJ |
| description | Background:
Pain management for Caesarean section focuses on multimodal analgesia with a growing interest in the use of regional techniques. Currently, there is no gold standard peripheral regional analgesia technique for Caesarean section. The Erector Spinae Plane Block is a relatively new fascial plane block that may be used to provide analgesia for numerous surgical procedures of the trunk. In recent years it is the fascial plane block that has accumulated the most enthusiasm and debate. Its use in Caesarean section has grown over the past three years.
Objective:
To determine the scope of literature published on ESPB in Caesarean sections and to identify deficits in the literature to guide future research.
Methodology:
This study was conducted using Arksey and O’Malley’s framework for scoping reviews. This included a search of four databases searching for articles published between 2016 and 2022. Studies involving patients receiving ESPB as part of an analgesic strategy after a Caesarean section were included.
Findings:
Sixteen articles were included for final review. The most common primary outcomes measured were postoperative pain scores and analgesia consumption. Six ESPB studies recorded a statistically significant reduction in pain scores while three studies described a statistically significant reduction in postoperative analgesia consumption.
Conclusion:
The use of ESPB for Caesarean section is gaining momentum however insufficient evidence currently exists to support its widespread use. Further research is required to evaluate the potential benefits of ESPB in specific patient cohorts and in terms of its efficacy about multidimensional patient-centric outcomes. |
| format | Article |
| id | doaj-art-073df70590234a96a102c83943e5977e |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-073df70590234a96a102c83943e5977e2025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-01191778510.4103/sja.sja_523_24Erector spinae plane block in Caesarean sections: A scoping reviewKieran BrosnanMary MooreAisling Ní EochagáinBackground: Pain management for Caesarean section focuses on multimodal analgesia with a growing interest in the use of regional techniques. Currently, there is no gold standard peripheral regional analgesia technique for Caesarean section. The Erector Spinae Plane Block is a relatively new fascial plane block that may be used to provide analgesia for numerous surgical procedures of the trunk. In recent years it is the fascial plane block that has accumulated the most enthusiasm and debate. Its use in Caesarean section has grown over the past three years. Objective: To determine the scope of literature published on ESPB in Caesarean sections and to identify deficits in the literature to guide future research. Methodology: This study was conducted using Arksey and O’Malley’s framework for scoping reviews. This included a search of four databases searching for articles published between 2016 and 2022. Studies involving patients receiving ESPB as part of an analgesic strategy after a Caesarean section were included. Findings: Sixteen articles were included for final review. The most common primary outcomes measured were postoperative pain scores and analgesia consumption. Six ESPB studies recorded a statistically significant reduction in pain scores while three studies described a statistically significant reduction in postoperative analgesia consumption. Conclusion: The use of ESPB for Caesarean section is gaining momentum however insufficient evidence currently exists to support its widespread use. Further research is required to evaluate the potential benefits of ESPB in specific patient cohorts and in terms of its efficacy about multidimensional patient-centric outcomes.https://journals.lww.com/10.4103/sja.sja_523_24caesarean sectionerector spinae plane blockfascial plane blockobstetric anaesthesiaregional anaesthesia |
| spellingShingle | Kieran Brosnan Mary Moore Aisling Ní Eochagáin Erector spinae plane block in Caesarean sections: A scoping review Saudi Journal of Anaesthesia caesarean section erector spinae plane block fascial plane block obstetric anaesthesia regional anaesthesia |
| title | Erector spinae plane block in Caesarean sections: A scoping review |
| title_full | Erector spinae plane block in Caesarean sections: A scoping review |
| title_fullStr | Erector spinae plane block in Caesarean sections: A scoping review |
| title_full_unstemmed | Erector spinae plane block in Caesarean sections: A scoping review |
| title_short | Erector spinae plane block in Caesarean sections: A scoping review |
| title_sort | erector spinae plane block in caesarean sections a scoping review |
| topic | caesarean section erector spinae plane block fascial plane block obstetric anaesthesia regional anaesthesia |
| url | https://journals.lww.com/10.4103/sja.sja_523_24 |
| work_keys_str_mv | AT kieranbrosnan erectorspinaeplaneblockincaesareansectionsascopingreview AT marymoore erectorspinaeplaneblockincaesareansectionsascopingreview AT aislingnieochagain erectorspinaeplaneblockincaesareansectionsascopingreview |