Parsons-Moss Daniel, Martin David, Condori Maribel, Dreyfuss Andrea
Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota.
Alameda Health System - Highland Hospital, Department of Emergency Medicine, Alameda, California.
Clin Pract Cases Emerg Med. 2023 Aug;7(3):132-135. doi: 10.5811/cpcem.1587.
Ultrasound-guided nerve blocks are fast becoming a core part of opioid-sparing, multimodal, acute pain management in the emergency department (ED) setting. The ultrasound-guided erector spinae plane block (ESPB) has been shown to be effective in treating a variety of musculoskeletal and neuropathic painful conditions in the ED.
Here we report the effective use of the ESPB for pain control in four patients who presented with acute abdominal pain related to biliary obstruction in a resource-limited setting.
The ESPB may be helpful in treating abdominal pain related to biliary obstruction, which is a novel indication for this well-established technique. This application is particularly relevant in resource-limited settings with significant delay in definitive surgical management. Further research is needed prior to widespread adoption.
超声引导下神经阻滞正迅速成为急诊科（ED）环境中阿片类药物节省、多模式急性疼痛管理的核心组成部分。超声引导下竖脊肌平面阻滞（ESPB）已被证明在治疗急诊科的各种肌肉骨骼和神经性疼痛疾病方面有效。
在此，我们报告了在资源有限的环境中，ESPB在4例因胆道梗阻出现急性腹痛患者的疼痛控制中的有效应用。
ESPB可能有助于治疗与胆道梗阻相关的腹痛，这是这项成熟技术的一种新应用。在资源有限且确定性手术管理有显著延迟的环境中，这种应用尤其相关。在广泛采用之前还需要进一步研究。
