Ultrasound guided lumbar erector spinae block: A case series on a

Am J Emerg Med · Oct 2023

Case Reports

Ultrasound guided lumbar erector spinae block: A case series on a novel technique for the treatment of acute low Back pain.

Low back pain is among one of the most common presentations to the emergency department (ED). Regional anesthesia has recently gained traction as an option for analgesia in ED patients, especially in the wake of the opioid epidemic. ⋯ We describe a series of three cases of patients who presented to the ED with severe low back pain refractory to traditional therapy, successfully treated using lumbar ESPB. Lumbar ESPB may be an effective approach to achieving rapid analgesia in patients who present with low back pain who may otherwise be poor candidates for more traditional therapy, such as with opioids or NSAIDs, or who may have refractory pain despite use of these medications.

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- Drew Silver, Kathryn Anderson, Dasia Esener, and Gabriel Rose.
- Department of Emergency Medicine, Kaiser Permanente San Diego, 9455 Clairemont Mesa Boulevard, San Diego, CA 92130, USA.
- Am J Emerg Med. 2023 Oct 1; 72: 223.e1223.e4223.e1-223.e4.
AbstractLow back pain is among one of the most common presentations to the emergency department (ED). Regional anesthesia has recently gained traction as an option for analgesia in ED patients, especially in the wake of the opioid epidemic. Data on lumbar application of the ESPB in the setting of acute, refractory low back pain in the ED is scarce. We describe a series of three cases of patients who presented to the ED with severe low back pain refractory to traditional therapy, successfully treated using lumbar ESPB. Lumbar ESPB may be an effective approach to achieving rapid analgesia in patients who present with low back pain who may otherwise be poor candidates for more traditional therapy, such as with opioids or NSAIDs, or who may have refractory pain despite use of these medications.Copyright © 2023 Elsevier Inc. All rights reserved.

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Ultrasound guided lumbar erector spinae block: A case series on a novel technique for the treatment of acute low Back pain.

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