ESRA19-0272 Effective analgesia with the use of erector spinae plane block in various abdominal and back surgeries

Background and aims Erector spinae plane block is one of the newer interfascial blocks with wide applications in thoracic, abdominal (open and laparoscopic) and lower extremity surgeries. Erector spinae plane block is hypothesized to relieve both the visceral and somatic pain by acting on the ventral and dorsal rami of the spinal nerves. The aim of this study is to report seven different cases where unilateral or bilateral erector spinae plane block was successfully administered to relieve post-operative pain, adding to the overall limited experience of this new technique. Methods Erector spinae plane block was given after the surgery in seven patients undergoing open or laparoscopic abdominal and lower back surgeries. We assessed the post-operative pain score and analgesic requirements over 24 hours. Results Excellent analgesia with Visual Analogue Scale Score ranging from 0–3 was experienced by most patients, requiring only Paracetamol and NSAIDS as rescue analgesia and no demand for opioids over 24 hours. Conclusions Erector spinae plane block is an easy, effective and safe regional analgesic technique with a wide range and variety of applications.