Erector Spinae Plane Block for Perioperative Analgesia in Percutaneous Nephrolithotomy

Abstract

       The erector spinae (ES) is a large and superficial muscle that lies just deep to the thoracolumbar fascia and arises from the erector spinae aponeurosis (ESA). The erector spinae plane block (ESPB) is a novel technique in which local anesthetic (LA) is deposited in the fascial plane deep to the erector spinae muscle and superficial to the tip of the transverse process. ESP was recently introduced as an alternative to postoperative analgesia in surgical procedures including thoracoscopies and mastectomies. The ESP block is a novel ultrasound-guided interfascial technique serendipitously discovered while treating thoracic neuropathic pain in an adult patient. Percutaneous nephrolithotomy (PCNL) is the standard urologic procedure used to disintegrate and remove large kidney stones.There are few clinical trials regarding erector spinae plane block in percutaneous nephrolithotomy. The aim of our study was to review the role of ESP as perioperative analgesia for patients who undergoing to PCNL.