Erector Spinae Plane Block and Ankle and Foot Surgery

Regional anesthesia is commonly used in orthopedic and surgical procedures in ankle and foot surgery to manage pain. The ultrasound-guided nerve block is a safe and effective regional anesthesia technique that provides effective pain management, decreasing opioid consumption.Postoperative pain management may be challenging and requires a multimodal approach. Regional anesthesia techniques in the pediatric ankle and foot surgery population are frequently used in postoperative pain management due to ultrasonography's increased experience and accessibility.Erector spinae plane block (ESP) is a relatively new regional anesthesia technique that provides analgesia covering spinal nerves' dorsal and ventral rami. There are few cases reports in the literature on the use of ESP block for lower limb surgery, for which it has a promising potential for future indication.The erector spinae plane block is a safe and effective regional anesthesia technique, which has earned new indications perioperatively since its description.

Inclusion Criteria:Age 18 - 65 years, American Society of Anesthesiologists physical status classification Ι and ΙΙ; scheduled for ankle and foot surgeryExclusion Criteria:Major hepaticsevere renal impairment (creatinine > 3 or on dialysis);severe cardiovascular disease (ejection fraction < 35%)local infection at site of injectionAny contraindication for ESPKnown allergy to any drug used in the study