Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Erector spinae plane blockade in the first stage of labour: a case series

Bloqueio do plano eretor da espinha no primeiro estágio do trabalho de parto: série de casos

Eylem Yasar, Ali Ihsan Uysal

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The objective of this case series was to present the importance of labour analgesia and the preference for erector spinae plane (ESP) block as a new technique that can be used for labour analgesia.

Case reports
The three patients were 25-year-old primipara with 5-cm cervical dilation, a 30-year-old multiparous with 5-cm cervical dilatation, and a 32-year-old primipara with 4-cm cervical dilation.

Bilateral ESP block may be an alternative analgesic technique for the first stage of labour.


Labor pain,  Analgesia,  Obstetrical,  Nerve block


Introdução: O objetivo desta série de casos foi apresentar a importância da analgesia de parto e a preferência pelo bloqueio do plano eretor da espinha (PES) como uma nova técnica que pode ser utilizada para analgesia de parto. Relatos de caso: As três pacientes eram primíparas de 25 anos com dilatação cervical de 5 cm, multípara de 30 anos com dilatação cervical de 5 cm e primípara de 32 anos com dilatação cervical de 4 cm. Conclusões: O bloqueio do PES bilateral pode ser uma técnica analgésica alternativa para o primeiro estágio do trabalho de parto.


Dor de parto; Analgesia; Obstétrica; Bloqueio de nervo


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2 M. Forero, S.D. Adhikary, H. Lopez, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain Reg Anesth Pain Med, 41 (2016), pp. 621-627

3 V. Nair, R. Henry Bilateral paravertebral block: a satisfactory alternative for labour analgesia Can J Anaesth, 48 (2001), pp. 179-184

4 T. Okutomi, M. Taguchi, K. Amano, et al. Paravertebral block for labor analgesia in a parturient with idiopathic thrombocytopenia Masui, 51 (2002), pp. 1123-1126

5 A. Schwartzmann, P. Peng, M.A. Maciel, et al. Mechanism of the erector spinae plane block: insights from a magnetic resonance imaging study Can J Anaesth, 65 (2018), pp. 1165-1166

6 S.D. Adhikary, S. Bernard, H. Lopez, et al. Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study Reg Anesth Pain Med, 43 (2018), pp. 756-762

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Braz J Anesthesiol

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