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Jadon A, Bakshi A. In Response to "Preoperative Fluoroscopically Guided Regional Erector Spinae Plane Blocks Reduce Opioid Use, Increase Mobilization, and Reduce Length of Stay Following Lumbar Spine Fusion" by Owen et al. Global Spine J 2021; 11:1315. [PMID: 34525870 PMCID: PMC8453669 DOI: 10.1177/21925682211024560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Ashok Jadon
- Tata Motors Hospital, Jamshedpur, Jharkhand, India,Ashok Jadon, Tata Motors Hospital, Telco Colony, Duplex-63, Vijaya Heritage phase-6, Kadma, Kharangajhar, Jamshedpur, Jharkhand 831005, India.
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Morley-Jepson K, Maharaj Z, Wagner J. The “new kid” on the fascial plane block: erector spinae block – a narrative review. SOUTHERN AFRICAN JOURNAL OF ANAESTHESIA AND ANALGESIA 2021. [DOI: 10.36303/sajaa.2021.27.4.2487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- K Morley-Jepson
- Helen Joseph Hospital, University of the Witwatersrand,
South Africa
| | - Z Maharaj
- Rahima Moosa Hospital, University of the Witwatersrand
South Africa
| | - J Wagner
- Rahima Moosa Hospital, University of the Witwatersrand
South Africa
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Hernandez N, Guvernator G, Ansoanuur G, Ge M, Tabansi P, Le TT, Obeidat SS, de Haan J. Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block. Local Reg Anesth 2020; 13:49-55. [PMID: 32606918 PMCID: PMC7319503 DOI: 10.2147/lra.s249250] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 05/23/2020] [Indexed: 12/19/2022] Open
Abstract
Intractable headaches can be debilitating, often leading to significant distress, prolonged medical treatment, and unanticipated hospital admissions. There have been significant advances in the treatment of primary intractable headaches such as migraines, tension headaches, and cluster headaches beyond medical management. Treatments may now include interventional strategies such as trigger-point injections, peripheral nerve stimulators, or peripheral nerve and ganglion blocks. There are few studies, however, describing the use of interventional techniques for the management of intractable secondary headaches, including those attributed to injury or infection. A new regional anesthetic technique, the erector spinae plane (ESP) block, was initially used for neuropathic thoracic pain. ESP block has since been reported to provide acute and chronic pain relief of the shoulder, spine, abdomen, pelvis, thorax, and lower extremity. Additionally, there has been one case report to describe the use of the ESP block in the treatment of refractory tension headache. We report four cases of effective analgesia for intractable secondary headache resistant to medical management with high thoracic ESP blocks. In each case, the ESP block provided instant pain relief. We suggest that the findings of this case series indicate that the ESP block may be a useful intervention in patients with severe secondary headache or posterior cervical pain where conventional therapies have limited success, though more studies are necessary.
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Affiliation(s)
- Nadia Hernandez
- Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA
| | - Grace Guvernator
- Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA
| | - George Ansoanuur
- Department of Neurology, Division of Trauma, Concussion and Sports Neuromedicine, University of Florida College of Medicine, Gainesville, FL 32610, USA
| | - Michelle Ge
- Department of Anesthesiology, Division of Chronic Pain Management, McGovern Medical School, Houston, TX 77030, USA
| | - Precious Tabansi
- Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA
| | - Thanh-Thuy Le
- Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA
| | - Salameh S Obeidat
- Department of Anesthesiology, Beth-Israel Deaconness Medical Center, Harvard Medical School, Boston, MA, USA
| | - Johanna de Haan
- Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA
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