# Ultrasound-guided erector spinae block

- Link: https://sifsof.com/clinical-apps/ultrasound-guided-erector-spinae-block/
- Published: 2022-01-12T09:29:49+00:00
- Author: Monica

**The erector spinae plane (ESP) block** is a newer regional anesthetic technique
that can be used to provide analgesia for a variety of surgical procedures or to
manage acute or chronic pain.

The conventional technique of anesthesia involves inserting the needle perpendicular
to all planes, contacting the transverse process, and then walking off it with the
needle. The commonly-used endpoints for needle insertion include loss-of-resistance
to air or saline, advancing a predetermined distance, or neurostimulation. As such,
similar techniques may fail to relieve the patient from chronic pain.

Anatomical evaluation by ultrasound imaging is one of the most exciting recent technological
advances in the field of anesthesia for tracking chronic pain.

Ultrasound scanners have been shown to offer excellent guidance for chronic nerve
blocks and regional anesthesia particularly among high-risk patients where interventional
procedures are required.

In this case, an ultrasound platform with a linear-array transducer oscillating 
at 14 MHz is exactly what is required. This makes the [SIFULTRAS-3.5](https://sifsof.com/product/linear-handheld-wifi-ultrasound-scanner-10-12-14-mhz-sifultras-3-5/)
device the best solution that can be effectively used for regional Ultrasound-guided
erector spinae blocks.

Using the [SIFULTRAS-3.5](https://sifsof.com/product/linear-handheld-wifi-ultrasound-scanner-10-12-14-mhz-sifultras-3-5/)
reduces the risks of vascular complications as it ensures a safe anesthetic procedure.
Being a modern, more compact and portable ultrasound machine, SIFULTRAS-3.5 displays
a   better resolution and enhanced tissue penetration as it comes with a needle 
guide holder. Hence, it can be directly set to the guide pin frame (if needed). 
SIFULTRAS-3.5 is also coupled with the software that can quickly locate the depth
and diameter of the puncture’s navigation.

Anesthesiologists can use the [SIFULTRAS-3.5](https://sifsof.com/product/linear-handheld-wifi-ultrasound-scanner-10-12-14-mhz-sifultras-3-5/)
in multiple ways. Added to the fact that it provides them with more accurate needle
placement for professional procedures, they can also safely use it for venipuncture
and Peripheral nerve block (PNB), PICC Peripherally inserted central catheters, 
BPB  Brachial plexus blocks, a central venous catheter (CVC), chronic pain, Insertion
of percutaneous hemodialysis catheters ….).

In conclusion, ESP block is a valuable armamentarium for postoperative pain management
and must be considered following major anesthesia-dependent surgeries.

# **Reference**: 󠀁[Potential role of ultrasound in anesthesia and intensive care](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173359/)󠁿

 * ![Mini Linear Handheld WiFi Ultrasound Scanner 10-12-14 MHz, SIFULTRAS-3.5 main](
   https://sifsof.com/wp-content/uploads/2019/03/SIFULTRAS-3.5-mini-linear-ultrasound-
   scanner-300x300.jpg)
 * Mini Linear Handheld WiFi Ultrasound Scanner 10-12-14 MHz, SIFULTRAS-3.5