Forgotten pioneers of erector spinae plane block: historical digression

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Abstract

One of the newest methods of interfacial blocks is the erector spinae plane (ESP) block, which is considered to have been first described by Forero in 2016. Given its simplicity and safety, the ESP block is used for postoperative analgesia during surgery on the abdominal organs, chest, breast, and spine and in the treatment of chronic pain. This study aimed to describe the historical aspects of the origin of the blockade of back-straightening muscles and the possibilities of its application in clinical practice. Articles published from January 2023 to April 2023 in PubMed (MEDLINE), Cochrane Library, and RSCI databases were searched by two independent researchers. The date of the last search was April 10, 2023. A total of 546 studies were identified, of which 68 were included in the review. Analysis and synthesis methods were used to construct the conclusion based on the information obtained. The history of the blockade of back-straightening muscles began in 1994 when Professor B.M. Rachkov and Professor V.M. Kustov received a patent “Method for treatment of pain in the pathology of the spinal cord and spinal column”. The blockade technique proposed by M. Forero was nearly identical to the Rachkov–Kustov method with respect to the direction of needle insertion and the injection site of the local anesthetic solution. The mechanism of action of the ESP block has not been definitively established. Data on possible complications and side effects of the ESP block are presented. Therefore, we have every reason to state that the Russian scientists Professor B.M. Rachkov and V.M. Kustov discovered the blockade of back-straightening muscles and not the Canadian Professor M. Forero. Further studies are needed to determine specific indications and evidence of the efficacy of the blockade of back-straightening muscles in comparison with other regional methods of anesthesia.

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About the authors

Rustam R. Safin

Turner National Medical Research Center for Pediatric Traumatology and Orthopedics; St. Petersburg State Pediatric Medical University

Author for correspondence.
Email: safin_r.r@hotmail.com
ORCID iD: 0000-0003-0960-7426
SPIN-code: 7464-7151

MD, Dr. Sci. (Med.)

Russian Federation, St. Petersburg; St. Petersburg

Viktor A. Koriachkin

Turner National Medical Research Center for Pediatric Traumatology and Orthopedics; St. Petersburg State Pediatric Medical University

Email: vakoryachkin@mail.ru
ORCID iD: 0000-0002-3400-8989
SPIN-code: 6101-0578

MD, Dr. Sci. (Med.), department Professor

Russian Federation, St. Petersburg; St. Petersburg

Dmitry V. Zabolotskii

Turner National Medical Research Center for Pediatric Traumatology and Orthopedics; St. Petersburg State Pediatric Medical University

Email: zdv4330303@gmail.com
ORCID iD: 0000-0002-6127-0798
SPIN-code: 6726-2571

MD, Dr. Sci. (Med.), Professor

Russian Federation, St. Petersburg; St. Petersburg

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