Erector Spinae Plane Block Performed in the Emergency Department for Abdominal Pain: A Case Series

Parsons-Moss D.; Martin D.; Condori M.; Dreyfuss A. · Clinical Practice and Cases in Emergency Medicine (2023) · DOI: 10.5811/cpcem.1587

Resumen

Introduction: Ultrasound-guided nerve blocks are fast becoming a core part of opioid-sparing, multimodal, acute pain management in the emergency department (ED) setting. The ultrasoundguided erector spinae plane block (ESPB) has been shown to be effective in treating a variety of musculoskeletal and neuropathic painful conditions in the ED. Case Series: 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. Conclusion: 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.