Lumbar ESP Block - Concepts & Principles [2024]

This video describes some of the fundamental concepts and anatomical principles around the lumbar erector spinae plane (ESP) block, and highlights important differences from the thoracic ESP block.
There are subtle but critical considerations around the injection target and endpoint, depending on the clinical objective: analgesia of the territory innervated by (a) the dorsal rami or (b) the ventral rami of the spinal nerves. This concept also holds true for the thoracic ESP block (see • ESP Block - Where To I... )
Complement this introductory video with a "how-to" guide to a lumbar ESP block targeting the ventral rami for hip analgesia: • Lumbar ESP Block - for...

[@sibazon69]

Several years ago I did a lumbar ESP block, it was difficult, but something worked out; after that I decided to find out if they do ESP block in the lumbar region at all - I didn't find anything reliable and decided that I got a variant of the paravertebral block, and stopped practicing it. Thank you, I will develop this experience.

[@akshayuttarwar3240]

So informative, always like the content of your videos..
Very useful indeed.
Thanks

[@alvaroalfaro9478]

What are your thoughts on and experiences with the retrolaminar block as lumbar region postop analgesia technique for spine surgeries? Does it it offer adequate spread to affect the dorsal and ventral rami? Thanks

[@akshayuttarwar3240]

Sir, Many times I find Hitting the transverse process and visualising the needle, there is no resistance while injecting the drug but I don't find a good spread seen horizontally. Readjusting the needle also doesn't help much.
What else should I do.
Please let me know.
I especially find this with a lumbar ESP block.