Evidence map›Paper›PMID 31119551›Full record

Observational studyCanadian journal of anaesthesia = Journal canadien d'anesthesie2019

Anatomical evaluation of the extent of spread in the erector spinae plane block: a cadaveric study.

Adriana Aponte, Xavi Sala-Blanch, Alberto Prats-Galino, Joseph Masdeu, Luis A Moreno, Luc A Sermeus

Registry-linked trialOpen access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05716061 (Comparison of Median, Intermediate and Lateral Approach to Sacral Erector Spinae Plane Block), which is not on this map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
14.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05716061 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparison of Median, Intermediate and Lateral Approach to Sacral Erector Spinae Plane Block: a Cadaveric and Radiologic Study

TypeinterventionalSponsorGiresun UniversityRan2023 to 2023Enrolled4ConditionsNerve BlockArmsSacral ESPB
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 129 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Adriana AponteDepartment of Anesthesia and Pain Medicine, Sant Joan Despí Moisès Broggi Hospital, Faculty of Medicine, University of Barcelona, Baix Llobregat, Cataluña, Spain.
Xavi Sala-BlanchDepartment of Orthopaedic Anesthesia, Clinic Hospital of Barcelona, University of Barcelona, Barcelona, Spain.
Alberto Prats-GalinoHuman Anatomy and Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.
Joseph MasdeuDepartment of Anesthesia and Pain Medicine, Sant Joan Despí Moisès Broggi Hospital, Baix Llobregat, Cataluña, Spain.
Luis A MorenoChronic Pain Medicine Unit, Clinic Hospital of Barcelona, Barcelona, Spain.
Luc A SermeusDepartment of Anesthesia, Antwerp University Hospital, University of Antwerp, Wilrijkstraat 10 in 2650, Edegem, Belgium. luc.sermeus@uza.be.ORCID http://orcid.org/0000-0003-3191-430X
Hospital de Sant Joan Despí Moisès Broggi · ESUniversitat de Barcelona · ESHospital Clínic de Barcelona · ESUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe erector spinae plane (ESP) block is an interfascial analgesic technique first described as an alternative for pain control at the thoracic level. The objective of this observational study was to determine the anatomical spread of dye following a T7 ESP block in a cadaveric model.

methodsAn ultrasound-guided ESP block was performed in four fresh human cadavers using an in-plane approach with a linear probe in a longitudinal orientation and a puncture in a craniocaudal direction. Twenty millilitres of an iodinated contrast/methylene blue solution was injected deep to the erector spinae muscle at the distal end of the T7 transverse process bilaterally in two of the specimens, and unilaterally in the other two (six ESP blocks in total). Subsequently, the specimens were subjected to a multi-slice computed tomography (CT) scan with three-dimensional reconstruction. Two of the specimens were dissected to evaluate the distribution of the contrast solution, and a sectional study was performed in the other two.

resultsIn the six samples, evaluated by CT scan and anatomical dissection, a craniocaudal spread of the dye was observed in the dorsal region from T1-T11 with lateral extension towards the costotransverse region. No diffusion of contrast solution or dye to the anterior region (paravertebral space) was observed by CT scan or dissection.

conclusionsThe results suggest that the ESP block reaches a wide range of the posterior rami of spinal nerves without diffusion into the paravertebral space or involvement of the anterior rami.

Indexed as

CadaverHumansMultidetector Computed TomographyNerve BlockParaspinal MusclesUltrasonography, Interventional

Identifiers

PMID31119551
OpenAlexW2946172433

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.