The Sacral Erector Spinae Plane Block: A Narrative Review
Current evidence suggests that both midline and paramedian S-ESP techniques are technically feasible, appear safe in the short term, and provide clinically relevant postoperative analgesia in selected pediatric urogenital, adult anorectal, and orthopedic surgeries. However, heterogeneity in techniques, small single-center samples, and a narrow range of indications limit its generalizability. Large, multicenter RCTs with standardized protocols are needed to clarify the optimal approaches, dosing strategies, and comparative role of S-ESP block versus established neuraxial and peripheral techniques.
Authors
- Peter Merjavy (ORCID: https://orcid.org/0000-0001-6813-3641)
- Can Aksu (ORCID: https://orcid.org/0000-0002-4389-4257)
- Ki Jinn Chin (ORCID: https://orcid.org/0000-0002-8339-3764)
- Francesco Marrone (ORCID: https://orcid.org/0000-0002-0840-9180)
- Serkan Tulgar
- Madan Narayanan
- Alessandro De Cassai
- Burhan Dost
Institutions
- University of East Anglia (GB)
- Bahçeşehir University (TR)
- University of Padua (IT)
- University of Toronto (CA)
- Ondokuz Mayıs University (TR)
- Toronto Western Hospital (CA)
- Frimley Health NHS Foundation Trust (GB)
- Ospedale di Santo Spirito (IT)
- Southern Health and Social Care Trust (GB)
- Kocaeli Üniversitesi (TR)
Publication Details
- Journal
- Pain and Therapy
- Published
- 2025-12-23
- DOI
- https://doi.org/10.1007/s40122-025-00807-6
- Primary Topic
- Anesthesia and Pain Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00