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CASE REPORT
Year : 2022  |  Volume : 36  |  Issue : 2  |  Page : 108-110

Role of erector spinae plane block in end-of-life care for a patient with advanced abdominal malignancy


1 Department of Pain and Palliative Care, Rajiv Gandhi Cancer Institute and Research Centre, Niti Bagh, South Delhi, India
2 Department of Anaesthesia, Pain and Critical Care, GB Pant Hospital, New Delhi, India
3 Department of Pain and Palliative Care, Hospice, Hospice India, New Delhi, India

Correspondence Address:
Dr. Sunny Malik
Department of Pain and Palliative Care, Rajiv Gandhi Cancer Institute and Research Centre, Niti Bagh, South Delhi - 110 049
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_19_22

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Celiac plexus block (CPB) is the most commonly used intervention in patients suffering from pain related to upper abdominal malignancies. Placing a CPB requires a patient to be placed in a prone position on the operating room table which becomes difficult in many patients with advanced disease and therefore makes it more challenging for the interventional pain physician, simultaneously risky for the patient. In such cases, a more superficial minimally invasive intervention is desirable. The erector spinae plane block (ESPB) is one such intervention that has been used in a large variety of settings and can be used in the abovementioned cases. So far, no reports have emphasized the role of this field block for chronic cancer pain relief in a patient with advanced and progressive malignancy nearing the end of life. We present such a case with end-stage carcinoma gallbladder, in which ESPB was used effectively for providing pain relief during her final days.


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