Case Report

Erector Spine Block (ESB) for Pain Relief in a Patient With Multiple Ribs Fracture


Erector Spine Block is a simple and effective block in controlling chest wall and upper abdominal pain. It is also possible to increase painless period for a few days by placing a catheter. We used this block in a high-risk traumatic patient to reduce the pain of rib fractures.

1)Tsui BCH, Fonseca A, Munshey F, McFadyen G, Caruso TJ: The erector spinae plane (ESP) block: a pooled review of 242 cases. J Clin Anesth. 2019, 53:29-34.
2) Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41(5):621–627.
3) Hamilton DL, Manickam B. Erector spinae plane block for pain relief in rib fractures. Br J Anaesth 2017;118(3):474–5
4) Luftig J, Mantuani D, Herring AA, Dixon B, Clattenburg E, Nagdev A. Successful emer-gency pain control for posterior rib fractures with ultrasound-guided erector spinae plane block. Am J EmergMed;36(8):1391–6

5) H. Ueshima, H. OtakeClinical experiences of ultrasound-guided erector spinae plane block for thoracic vertebra surgery .J Clin Anesth, 38 (2017 May), p. 137
6) Bonvicini D, Giacomazzi A, Pizzirani E. Use of the ultrasound-guided erector spi-nae plane block in breast surgery. Minerva Anestesiol 2017;83(10):1111–2
IssueVol 58, No 2 (2020) QRcode
SectionCase Report(s)
Ribs fracture Erector spine muscles Block

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Espahbodi E, Sanatkar M, Atef Yekta R. Erector Spine Block (ESB) for Pain Relief in a Patient With Multiple Ribs Fracture. Acta Med Iran. 58(2):83-84.