Gopinath Bharath, Mathew Roshan, Bhoi Sanjeev, Nayaka Rakesh, Muvalia Gaurav
Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.
Turk J Emerg Med. 2021 Jul 7;21(3):129-132. doi: 10.4103/2452-2473.320806. eCollection 2021 Jul-Sep.
Nerve blocks are frequently used in emergency department for pain management in patients with fractures. Their utility in medical conditions with severe intactable pain is largely unknown. We report a series of seven patients with pancreatitis who presented with severe abdominal pain (defense and veteran pain rating scale > 7) and had no relief on regular analgesia. They were subjected to erector spinae plane block (ESPB), and reduction in pain score at different time intervals, side effects, and additional analgesic dose requirements were noted. The objective of this case series is to explore the utility of ESPB in patients with pancreatitis.
神经阻滞在急诊科常用于骨折患者的疼痛管理。其在伴有严重顽固性疼痛的疾病中的效用很大程度上尚不清楚。我们报告了一系列7例胰腺炎患者,他们均表现为严重腹痛(防御和退伍军人疼痛评分量表>7),常规镇痛无效。对他们实施了竖脊肌平面阻滞(ESPB),并记录了不同时间间隔的疼痛评分降低情况、副作用以及额外的镇痛剂量需求。本病例系列的目的是探讨ESPB在胰腺炎患者中的效用。