Fallah Philip S, Bubic Irvan J, Oswald Jessica C, Coyne Christopher J
University of California San Diego Health, La Jolla, California, USA.
J Palliat Med. 2025 Apr 18. doi: 10.1089/jpm.2024.0531.
Patients with cancer often experience severe pain, leading to emergency department (ED) visits and hospitalization. The erector spinae plane block (ESPB) has a multimodal mechanism that may treat cancer pain exacerbations. Data were collected via chart review for three patients with intra-abdominal cancer presenting to the ED for cancer-related abdominal pain and received a bilateral ESPB. Visual analog scale scores were collected pre- and post-procedurally. The patient with colon cancer was pain-free postprocedurally and was discharged the following day. The patient with rectal cancer had a 75% reduction in pain and was discharged from the ED. The patient with pancreatic cancer had a 66% reduction in pain and was discharged the following day. Our findings suggest that the ESPB effectively treats cancer pain exacerbations and may expedite the bridge to home pain regimens. Furthermore, the ESPB may reduce the length of hospitalization and facilitate discharge.
癌症患者常经历剧痛，导致前往急诊科就诊并住院。竖脊肌平面阻滞（ESPB）具有多模式机制，可能用于治疗癌症疼痛加剧。通过病历回顾收集了3例因癌症相关腹痛到急诊科就诊并接受双侧ESPB的腹内癌患者的数据。在操作前后收集视觉模拟量表评分。结肠癌患者术后无痛，次日出院。直肠癌患者疼痛减轻75%，从急诊科出院。胰腺癌患者疼痛减轻66%，次日出院。我们的研究结果表明，ESPB可有效治疗癌症疼痛加剧，可能加快过渡到家庭疼痛治疗方案。此外，ESPB可能缩短住院时间并促进出院。
