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ESP Block vs. Paravertebral Block [WcRAPM Paris 2023]

This is my presentation from a Pro-Con session with Prof Manoj Karmakar at the World Congress of Regional Anesthesia and Pain Medicine held in Sep 2023 in Paris. My aim was primarily to dispel the common myths that surround the ESP block, to show that the ESP and paravertebral blocks are closely related, and to provide some tips on how to make the ESP work better for our patients. 00:25 – Process of discovery 01:10 – Updated anatomy 03:15 – MRI evidence 05:28 – Analgesia vs cutaneous block 08:21 – Systemic effect? 09:40 - Why choose ESP 12:28 - Spectrum of ESP-to-PVB 13:50 - US targets in ESP-ITP-PVB 15:21 - Dorsal rami vs Ventral rami coverage 16:49 - Lateral-medial axis of imaging and needling 18:59 - Conclusion