Academic Journal
Erector Spinae Plane Block as an Analgesic Strategy for Hepatopancreaticobiliary Pain: A Systematic Review.
| Τίτλος: | Erector Spinae Plane Block as an Analgesic Strategy for Hepatopancreaticobiliary Pain: A Systematic Review. |
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| Συγγραφείς: | Neto ES; Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address: saadineto.eduardo@mayo.edu., Scapin M; Department of Neurosurgery, Universidade Estadual de Londrina, Brazil., de Menezes TA; Department of Anesthesiology, Universidade Federal do Amazonas, Brazil., Valente LF; Department of Medicine, Faculdade Pernambucana de Saude, Brazil., Marques de Freitas NT; Department of Emergency Medicine, Universidade Federal de Sao paulo, Brazil., Salomão IFA; Department of Anesthesia, Hospital Regional Unimed Missões, Santo Ângelo, Brazil., Brogan A; Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota., Dreyfuss A; Department of Emergency Medicine, Hennepin Hospital, Minneapolis, Minnesota. |
| Πηγή: | The Journal of emergency medicine [J Emerg Med] 2026 Aug; Vol. 87, pp. 106-117. Date of Electronic Publication: 2026 May 16. |
| Τύπος έκδοσης: | Journal Article; Systematic Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 8412174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0736-4679 (Print) Linking ISSN: 07364679 NLM ISO Abbreviation: J Emerg Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2010>- : New York : Elsevier Original Publication: New York : Pergamon Press, c1983- |
| Ιατρικοί όροι (MeSH): | Nerve Block*/methods , Nerve Block*/standards , Pain Management*/methods , Pain Management*/standards , Analgesia*/methods , Analgesia*/standards , Paraspinal Muscles*, Analgesics/therapeutic use ; Humans |
| Περίληψη: | Background: Hepatopancreaticobiliary (HPB) pain is a common cause of emergency department (ED) and intensive care unit (ICU) presentation and is frequently managed with opioid analgesics. In the setting of the ongoing opioid crisis, effective non-opioid analgesic strategies are urgently needed. The erector spinae plane block (ESPB) has emerged as a promising regional anesthesia technique. Objectives: To systematically review and synthesize existing evidence on the feasibility, effectiveness, and safety of ESPB for HPB-related pain in acute care settings. Methods: A systematic review was conducted in accordance with PRISMA guidelines. PubMed, EMBASE, and the Cochrane Library were searched for studies reporting ESPB use in patients aged ≥16 years with HPB-related pain. Eligible studies included randomized trials, case series, case reports, and letters. Data on clinical setting, block technique, analgesic outcomes, and safety were extracted. Risk of bias was assessed using ROB 2 and Joanna Briggs Institute tools. Due to limited sample size and heterogeneity, results were synthesized qualitatively. Results: Thirteen studies were included, reporting outcomes in 55 patients within 1 hour and 64 patients within 24 hours. Most ESPBs were performed in the ED. Indications included pancreatitis, cholecystitis, and pancreatic malignancy. ESPB was associated with rapid pain reduction, often within 15-60 minutes, and reduced rescue opioid requirements. No block-related complications were reported. Conclusions: Current case-based evidence suggests ESPB is a feasible, safe, and rapidly effective analgesic option for HPB-related pain in acute care settings, with potential opioid-sparing benefits. Higher-quality prospective studies are needed to confirm efficacy and standardize practice. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no declarations of interest. This research was conducted without any external funding, and no personal, professional, or financial ties could have affected the objectivity of the study. |
| Contributed Indexing: | Keywords: ESPB; erector spinae plane; regional anesthesia; ultrasound |
| Substance Nomenclature: | 0 (Analgesics) |
| Entry Date(s): | Date Created: 20260612 Date Completed: 20260714 Latest Revision: 20260714 |
| Update Code: | 20260714 |
| DOI: | 10.1016/j.jemermed.2026.04.029 |
| PMID: | 42284689 |
| Βάση Δεδομένων: | MEDLINE |
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