Too good to be true? Erector spinae block in low‐resource settings: navigate with caution

A double blind randomised controlled study conducted in Ethiopia in 72 patients having midline abdominal surgery and comparing rectus sheath block and erector spinae plane (ESP) block showed a signi fi cant decrease in analgesic consumption in favour of the latter [1]. Although thoracic epidural analgesia is still considered the gold standard for most open abdominal procedures, the realities of cost-effectiveness, follow-up support and the lack of neuraxial training present signi fi cant challenges in any setting. It is, therefore, intriguing to compare how these fascial plane blocks perform relative toone another.