Meyer Ashley, Haley Campbell Belisle, Razzak Eisa, Santos Amanda Dos, Dornhofer Kyle, Hsu Edmund, Saadat Soheil, Fox John Christian, Guy Megan
University of California, Irvine, School of Medicine, Irvine, CA, USA.
Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA.
Clin Exp Emerg Med. 2024 Dec;11(4):379-386. doi: 10.15441/ceem.23.171. Epub 2024 Mar 15.
Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized. Our scoping review aims to synthesize current knowledge on the safety and efficacy of ESPB in the management of patients experiencing intractable, nonsurgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for nonsurgical abdominal pain. A total of 14 journal articles were included: 12 case-based studies, one systematic review, and one narrative review. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and no complications were reported in any cases. This scoping review provides support for the use of ESPB to manage intractable, nonsurgical abdominal pain. ESPB has demonstrated efficacy in alleviating various conditions such as functional abdominal pain, renal colic, pancreatitis, herpetic pain, and cancer-related pain. Theoretical risks such as pneumothorax, bleeding, and infection are possible, although the studies reviewed did not report such complications.
腹痛是急诊科最常见的就诊主诉之一。竖脊肌平面阻滞（ESPB）是一种超声引导下的神经阻滞，已被证实对治疗内脏性和躯体性腹痛有效。尽管ESPB越来越受欢迎，但其在非手术性腹痛管理中的作用尚未明确。我们的范围综述旨在综合当前关于ESPB治疗顽固性非手术性腹痛患者的安全性和有效性的知识。我们检索了PubMed和Scopus以评估关于ESPB治疗非手术性腹痛的现有文献。共纳入14篇期刊文章：12篇基于病例的研究、1篇系统综述和1篇叙述性综述。所有病例均描述了ESPB成功用于治疗对口服或静脉镇痛药物无效的腹痛，且所有病例均未报告并发症。本范围综述为使用ESPB管理顽固性非手术性腹痛提供了支持。ESPB已证明在缓解各种病症方面有效，如功能性腹痛、肾绞痛、胰腺炎、疱疹性疼痛和癌症相关疼痛。气胸、出血和感染等理论上的风险是可能存在的，尽管所综述的研究未报告此类并发症。
