Erector spinae plane block for pain control in patients with pancreatitis in the emergency department
Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India
Keywords: Emergency department, erector spinae plane block, pancreatitis
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.
Written consent was taken by all patients.
Declaration of patient consent :The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
BG, RM, and SB conceived the study. BG, RM, RN, and GM undertook recruitment of participating centers and patients and managed the data, including quality control. BG and RM provided statistical advice on study design and analyzed the data; SB chaired the data oversight committee. BG drafted the manuscript, and all authors contributed substantially to its revision. SB takes responsibility for the paper as a whole.
We acknowledge the Department of Emergency medicine, AIIMS, for providing the necessary logistic support to complete this project.