{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T20:26:56Z","timestamp":1785356816877,"version":"3.55.0"},"reference-count":9,"publisher":"Mattioli1885","issue":"1","license":[{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ultrasound J"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute abdominal pain is one of the most common complaints that patients present with in the emergency room and has long been a challenge to effectively manage without relying on opioid analgesia. The use of ultrasound-guided peripheral nerve blocks (UGRA) represents a new frontier in multimodal pain control regimens in the acute setting. An erector spinae plane (ESP) block is believed to mediate pain relief in multiple dermatomes through blockage of both visceral and somatic nerves. Analgesia provided by a single injection can help keep a patient comfortable for hours without breakthrough pain and the subsequent need for frequent redosing of opioid pain medication. To this date, there is very limited evidence of an ESP block in the utilization of acute appendicitis in the emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report<\/jats:title>\n                    <jats:p>This case report presents a 26-year-old female with a past medical history of polycystic ovarian syndrome (PCOS) and a tubal ligation that presented with 7\/10 right lower quadrant abdominal pain that began 1\u00a0h prior to arrival. She stated that she felt like this was similar to her PCOS exacerbations in the past. During her evaluation, she underwent a computed tomography (CT) scan of her abdomen and pelvis that was remarkable for acute, uncomplicated appendicitis. She was given 4\u00a0mg of morphine for her pain with little response, so the offer was made for an erector spinae block that the patient elected to receive. After being consented both for the procedure and for research, she received a right-sided erector spinae block with 20\u00a0mL\u2019s of 0.2% ropivacaine (2\u00a0mg\/mL) at the L1 vertebral level. After approximately 15\u00a0min, she stated that she had a reduction in her pain from a 6\/10 to a 1\/10 that persisted throughout the rest of her stay in the emergency department.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13089-022-00281-7","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T09:05:43Z","timestamp":1658826343000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The erector spinae block: a novel approach to pain management in acute appendicitis"],"prefix":"10.5826","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9300-3670","authenticated-orcid":false,"given":"Jonathan","family":"Brewer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Conger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Rash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27750","published-online":{"date-parts":[[2022,7,26]]},"reference":[{"key":"281_CR1","volume-title":"Clinical methods: the history, physical, and laboratory examinations","author":"R Sherman","year":"1990","unstructured":"Sherman R (1990) Abdominal pain. In: Boston MA (ed) Clinical methods: the history, physical, and laboratory examinations, 3rd edn. Butterworths, London","edition":"3"},{"issue":"1","key":"281_CR2","first-page":"25","volume":"98","author":"M Snyder","year":"2018","unstructured":"Snyder M, Cagle S, Guthrie M (2018) Acute appendicitis: efficient diagnosis and management. Am Fam Physician 98(1):25","journal-title":"Am Fam Physician"},{"key":"281_CR3","volume-title":"Anatomy, abdomen and pelvis appendix","author":"BD Hodge","year":"2022","unstructured":"Hodge BD, Kashyap S, Khorasani-Zadeh A (2022) Anatomy, abdomen and pelvis appendix. Statpearls, Treasure Island"},{"key":"281_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/b978-0-12-385157-4.00213-x","author":"SJ Panchal","year":"2014","unstructured":"Panchal SJ, Grami V (2014) Pain, nociceptive vs neuropathic. Encycl Neurol Sci. https:\/\/doi.org\/10.1016\/b978-0-12-385157-4.00213-x","journal-title":"Encycl Neurol Sci"},{"key":"281_CR5","doi-asserted-by":"publisher","DOI":"10.1016\/b978-012088592-3\/50094-3","author":"S Mercadante","year":"2007","unstructured":"Mercadante S (2007) Neoplasm-induced pain. Neurobiol Dis. https:\/\/doi.org\/10.1016\/b978-012088592-3\/50094-3","journal-title":"Neurobiol Dis"},{"key":"281_CR6","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2020\/23\/e285","author":"A Cadavid","year":"2020","unstructured":"Cadavid A (2020) Evaluation of sensory mapping of Erector Spinae plane block. Pain Physician. https:\/\/doi.org\/10.36076\/ppj.2020\/23\/e285","journal-title":"Pain Physician"},{"issue":"3","key":"281_CR7","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1007\/s12630-020-01875-2","volume":"68","author":"KJ Chin","year":"2021","unstructured":"Chin KJ, El-Boghdadly K (2021) Mechanisms of action of the Erector spinae plane (ESP) block: a narrative review. Can J Anesth J Canadien d\u2019anesth\u00e9sie 68(3):387\u2013408. https:\/\/doi.org\/10.1007\/s12630-020-01875-2","journal-title":"Can J Anesth J Canadien d'anesth\u00e9sie"},{"issue":"9","key":"281_CR8","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/j.redar.2018.07.004","volume":"65","author":"E Vidal","year":"2018","unstructured":"Vidal E, Gimenez H, Forero M, Fajardo M (2018) Erector spinae plane block: a cadaver study to determine its mechanism of action. Rev Esp Anestesiol Reanim 65(9):514\u2013519. https:\/\/doi.org\/10.1016\/j.redar.2018.07.004","journal-title":"Rev Esp Anestesiol Reanim"},{"key":"281_CR9","doi-asserted-by":"publisher","DOI":"10.23736\/s0375-9393.18.13341-4","author":"A De Cassai","year":"2019","unstructured":"De Cassai A, Bonvicini D, Correale C, Sandei L, Tulgar S, Tonetti T (2019) Erector spinae plane block: a systematic qualitative review. Minerva Anestesiol. https:\/\/doi.org\/10.23736\/s0375-9393.18.13341-4","journal-title":"Minerva Anestesiol"}],"container-title":["The Ultrasound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13089-022-00281-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13089-022-00281-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13089-022-00281-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T16:34:24Z","timestamp":1768408464000},"score":1,"resource":{"primary":{"URL":"https:\/\/theultrasoundjournal.springeropen.com\/articles\/10.1186\/s13089-022-00281-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,26]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["281"],"URL":"https:\/\/doi.org\/10.1186\/s13089-022-00281-7","relation":{},"ISSN":["2524-8987"],"issn-type":[{"value":"2524-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,26]]},"assertion":[{"value":"7 May 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Consent for participation and publication was obtained from the patient.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publications"}},{"value":"The authors have no competing interests or financial disclosures to present.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"30"}}