Correspondence|Articles in Press, 103636

Erector spinae plane block for acute renal colic in the pregnant patient

Published:February 01, 2023DOI:
      Renal colic is a common cause of non-obstetric abdominal pain although rates of hospitalisation vary between 0.03%-0.4% of all pregnancies. In uncomplicated nephrolithiasis, expectant management with hydration and adequate analgesia may be sufficient, but uncontrolled pain can require intervention.
      • Dai J.C.
      • Nicholson T.M.
      • Chang H.C.
      • et al.
      Nephrolithiasis in pregnancy: treating for two.
      Nonsteroidal anti-inflammatories are contraindicated at some gestations due to potential risks to fetal development, thus limiting analgesic options.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to International Journal of Obstetric Anesthesia
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Dai J.C.
        • Nicholson T.M.
        • Chang H.C.
        • et al.
        Nephrolithiasis in pregnancy: treating for two.
        Urology. 2021; 151: 44-53
        • Aydin M.E.
        • Ahiskalioglu A.
        • Tekin E.
        • Ozkaya F.
        • Ahiskalioglu E.O.
        • Bayramoglu A.
        Relief of refractory renal colic in emergency department: A novel indication for ultrasound guided erector spinae plane block.
        Am J Emerg Med. 2019; 37: 794.e1-794.e3
        • Forero M.
        • Adhikary S.D.
        • Lopez H.
        • Tsui C.
        • Chin K.J.
        The eector spinae plane block: a novel analgesic technique in thoracic neuropathic pain.
        Reg Anesth Pain Med. 2016; 41: 621-627
        • Restrepo-Garces C.E.
        • Urrego J.
        • Mejia-Loaiza C.
        • Giraldo L.
        The erector spinae plane block for radicular pain during pregnancy.
        Int J Obstet Anesth. 2019; 39: 143-144
        • Noble M.
        • Cann J.
        • Feyzeau K.
        • et al.
        The erector spinae plane block as novel therapy for renal colic: a case series.
        J Ultrasound Med. 2023; 42: 233-237
        • Ready L.B.
        • Johnson E.S.
        Epidural block for treatment of renal colic during pregnancy.
        Can Anaesth Soc J. 1981; 28: 77-79
        • Finneran 4th, J.J.
        • Bechis S.K.
        • Ilfeld B.M.
        Thoracic paravertebral block for renal colic: a case report.
        A A Pract. 2020; 14: e01250
        • Turbitt L.R.
        • Mariano E.R.
        • El-Boghdadly K.
        Future directions in regional anaesthesia: not just for the cognoscenti.
        Anaesthesia. 2020; 75: 293-297
        • Borle A.P.
        • Chhabra A.
        • Subramaniam R.
        • et al.
        Analgesic efficacy of paravertebral bupivacaine during percutaneous nephrolithotomy: an observer blinded, randomized controlled trial.
        J Endourol. 2014; 28: 1085-1090
      1. Choi YJ, Kwon HJ, O J, et al. Influence of injectate volume on paravertebral spread in erector spinae plane block: An endoscopic and anatomical evaluation. PLoS One. 2019;14:e0224487.