Dear Dr. Chin, I'm an Italian medical student. I would like to know: -Which is the onset time of ESPB? -Performing preoperatively the ESPB at the level of T7, to provide analgesia during abdominal surgery, how can we understand if the block is working? Loses the patient the sensibility of abdominal wall? Thanks for your attention.
Dear Dr. Chin, you have again made a quality video, my question i just how much do you believe in the effect of ESP block for abdominal surgery, I find very little evidence in the literature. I find it helping sometime as rescueblock after lap. hernie repair and lap. hysterectomy, but mixed results when given before surgery to our lap. hemicolectomy patients. Thank you for your great educational work.
As you mentioned, the ESP and other fascial plane blocks work well as rescue techniques, because they reduce pain, just not always to zero. And patients can perceive that difference. If done preop, and it reduces the pain they WOULD have had, that impact is not appreciated. Ultimately, it is an indirect paravertebral, and with that comes the variability that you would expect.
![ESP Block vs. Paravertebral Block [WcRAPM Paris 2023]](http://i.ytimg.com/vi/VwiviM1dCYE/mqdefault.jpg)
Excellent account on how to get around potential difficulties. Thank you
Thank you very much. As always highly appreciated. Stay safe, stay blessed
Dear Dr. Chin,
I'm an Italian medical student.
I would like to know:
-Which is the onset time of ESPB?
-Performing preoperatively the ESPB at the level of T7, to provide analgesia during abdominal surgery, how can we understand if the block is working? Loses the patient the sensibility of abdominal wall?
Thanks for your attention.
Disclaimer: So far, I've used it exclusively for spine surgery. It is relatively easy to perform and works like a charm.
Dear Dr. Chin, you have again made a quality video, my question i just how much do you believe in the effect of ESP block for abdominal surgery, I find very little evidence in the literature.
I find it helping sometime as rescueblock after lap. hernie repair and lap. hysterectomy, but mixed results when given before surgery to our lap. hemicolectomy patients.
Thank you for your great educational work.
As you mentioned, the ESP and other fascial plane blocks work well as rescue techniques, because they reduce pain, just not always to zero. And patients can perceive that difference. If done preop, and it reduces the pain they WOULD have had, that impact is not appreciated. Ultimately, it is an indirect paravertebral, and with that comes the variability that you would expect.
@@KiJinnChin thank you for your answer, and great videos, just watches 3-part about RA vs GA
@ki jinn chan I wanted to know some details about the requirements about working in Canada in the field of anesthesiology
Thank you.
Thanks....very nice