%0 Journal Article
%T A case series of fluoroscopy-guided neurolytic splanchnic nerve block for chronic pancreatitis pain.
%A Jyothi B
%A Mitragotri MV
%A Ladhad DA
%A Kurdi M
%A Kurugodiyavar MD
%A Jadhav S
%J Saudi J Anaesth
%V 18
%N 3
%D 2024 Jul-Sep
%M 39149730
暂无%R 10.4103/sja.sja_86_24
%X <B>UNASSIGNED: </B>Splanchnic nerve block (SPN) with local anesthetic and steroid is used to relieve the pain of chronic pancreatitis. However, it does not provide long-lasting relief. We hypothesize that the use of 70% alcohol will give adequate analgesia for more than months.<BR><B>UNASSIGNED: </B>The primary objective was to find out the analgesic efficacy of the use of 70% alcohol with SPN. Secondary objectives included the incidence of side effects, analgesic consumption postintervention, quality of life (QOL) assessed via a self-reported quality of life scale, and repeat block during the 1-year follow-up period.<BR><B>UNASSIGNED: </B>Retrospective analysis of all patients with chronic pancreatitis who received bilateral SPN over the last 4 years.<BR><B>UNASSIGNED: </B>SPN was performed using the posterior retrocrural approach with the patient in the prone position as described in the literature using a 23 G × 90 mm spinal needle bilaterally at the level of T12 using C-arm/fluoroscopy guidance. Data were collected from the procedure book of the pain clinic and medical records.<BR><B>UNASSIGNED: </B>Quantitative data for change in pre- to post-block VAS score was collected using the non-parametric Wilcoxon signed ranks test.<BR><B>UNASSIGNED: </B>The baseline VAS, post-procedure VAS, and VAS at 3 months follow-up was 7.69 ± 1.3,2.44 ± 0.96 and 1.56 ± 1.15. A pairwise comparison of VAS performed between baseline and immediate post-procedure, baseline, and VAS at 3 months was found to be highly significant.<BR><B>UNASSIGNED: </B>Fluoroscopy-guided neurolytic SPN with 70% alcohol gives significant pain relief for more than 3 months. It also leads to improvement in 3 months QOL.