Nerve Block Gallery - Erector Spinae Nerve Block
Caption
A 43-year-old female presented to the ED with four weeks of ongoing R sided costovertebral angle and anterior chest wall discomfort, previously having been treated for pyelonephritis at the onset of her pain. Given her nonspecific symptoms that had been refractory to standard management, a right sided erector spinae block was offered for analgesia. The needle can be seen approaching the T6 transverse process (the approximate site of her pain) from cephalad. The erector spinae muscle is lifted off the transverse process with good spread in the fascial plane demonstrated in the subsequent images. 30 cc of 0.33% bupivacaine with 10 mg of dexamethasone was used. The patient had moderate pain relief. Dr. Fred Milgrim, Ultrasound Fellow, Denver Health Emergency Medicine