Erector spinae plane block as a component of intensive care for acute pancreatitis: a prospective randomized pilot study

• DOI: 10.17816/ra625466
• Publication Date: 2024-03-26T20:59:20Z
• Authors: Mikhail A. Shapkin; Ivan Y. Sholin; Rostislav A. Cher...; Victor S. Suryakhin; Victor A. Koriachkin; Rustam R. Safin
• Keywords: 03 medical and health sciences; 0302 clinical medicine

BACKGROUND: Analgesia is crucial in the treatment of patients with acute pancreatitis, which includes increased use regional analgesia. In recent years, less-invasive and safer methods pain relief, particularly erector spinae plane block (ESP-block), has drawn attention from anesthesiological community. However, studies on its pancreatitis are rare. OBJECTIVE: Our aim was to make a clinical evaluation bilateral pancreatitis. MATERIALS AND METHODS: A pilot prospective randomized study conducted. The were divided into two groups: group 1 (n=7), ESP blockade used, 2 (n=12), epidural analgesia (EA) used. primary points considered be an assessment syndrome intensity need for analgesics. Additional results liver kidney function, acid-base condition, inflammatory response level, time onset peristalsis. RESULTS: decrease both groups unidirectional: after 8 h, it 3.57±1.98 NRS 2.91±1.97 2, 24 1.42±1.27 1.75±2.3 NRS, respectively. No significant difference found between (р 0,05). average consumption ketorolac 78.2±16.3 mg — 63.28±17.23 patient. narcotic analgesics, that is, morphine, per patient 22±8 36.3±17.2 During therapy, blood α-amylase, diuresis rate, creatinine glomerular filtration rate did not have groups, as well pH, BE, lactate levels Peristalsis noted 12.49±19.73 h ESP-block 16.9±21.3 2nd ICU length stay differ 62±3 62±7 respectively CONCLUSION: Bilateral simple safe method induces analgesic effect homeostasis similar blockade. Further role location treating required.