Lumbar ESP Block - for Hip & Lower Limb Analgesia

A how-to-guide on performing a lumbar ESP block for analgesia in the territory of the lumbar plexus, i.e. anterior hip and proximal lower limb. This is essentially a “lumbar plexus block-by-proxy”. The aim is to produce similar benefits with less risk and complexity.
Note that this is different from a lumbar ESP block performed for back pain and spine surgery, where the target is the dorsal rami, rather than the ventral rami, of spinal nerves. See the discussion of the general concepts and principles of lumbar ESP block here: • Lumbar ESP Block - Con...
00:00 - Intro
00:10 - Preparation
01:12 - Position
01:25 - Approaches
03:20 - Injection Endpoint
03:45 - Clinical Pearls
04:35 - Block Video

[@umerfaisal7226]

Very nice I was waiting from long time for this bolck.

[@akshayuttarwar3240]

Thanks for the video

[@zakalobi80]

Very nice video. I want to see the sacral ESP block. Thanks

[@KiJinnChin]

Thanks for the suggestion. It's on my to-do list! There have been some recent articles on it, including the recommendation (which I agree with) that it should more properly be called the sacral multifidus plane block.

[@oceandiscovery5288]

Thank you. Will you be doing a video presentation on the sacral ESP blocks in the future?

[@KiJinnChin]

Yes I hope to - and will move it up the priority list! Thanks for the suggestion.

[@kwokkuenliu4422]

Hi thx for your excellent teaching
Wonder if it’s enough for # hip surgery ? Thx

[@KiJinnChin]

May not be dense enough for surgical anesthesia. However should be good for postoperative analgesia - can perform it after turning them lateral for the spinal anesthetic.

[@kwokkuenliu4422]

@@KiJinnChin apart from SA , do you perform combined regional nerve block for # hip in frail pts ? Thx