Erector Spinae Plane Continuous Catheters for Refractory Abdominal Pain Related to Necrotizing Pancreatitis: A Case Report

Authors

Matthew T. Allos, Henry Ford HealthFollow
Daniel M. Zukowski, Henry Ford HealthFollow
Christina W. Fidkowski, Henry Ford HealthFollow

Recommended Citation

Allos MT, Zukowski DM, and Fidkowski CW. Erector Spinae Plane Continuous Catheters for Refractory Abdominal Pain Related to Necrotizing Pancreatitis: A Case Report. A A Pract 2021; 15(11).

Document Type

Article

Publication Date

11-5-2021

Publication Title

A A Pract

Abstract

Erector spinae plane (ESP) continuous catheters are used for the management of postsurgical pain. The use of these catheters for acute nonsurgical abdominal pain is not well defined. This case describes a patient with refractory abdominal pain secondary to necrotizing pancreatitis despite escalating doses of opioids, ketamine, and dexmedetomidine. Our patient declined epidural analgesia. Bilateral ESP continuous catheters successfully controlled her pain, and she was weaned off of all analgesics during the week following catheter placement. This case demonstrates that ESP continuous catheters can be considered for patients with acute nonsurgical abdominal pain especially when thoracic epidural analgesia is contraindicated.

Medical Subject Headings

Abdominal Pain; Catheters; Female; Humans; Nerve Block; Pancreatitis; Paraspinal Muscles

PubMed ID

34752440

Volume

15

Issue

11

First Page

01543

Last Page

01543