Erector spinae plane block for management of acute on chronic pancreatitis pain

The incidence of acute pancreatit is ranges from 5 to 80 cases per 100,000 people annually and this number has increased in recent years.[1] Once an individual experiences an episode of acute pancreatit is, he or she becomes more susceptible to future episodes.[2] Nearly half of patients with alcohol-incited pancreatit is experience a recurrence, regardless of intervention.[2] Patients with gallst. [...] At the t ime of consultat ion, she required 4mg of hydromorphone, 12mg of morphine, and 400mg of tramadol (total MME 68) over 24 hours. [...] The pain is thus theorized to be the consequence of pancreatic primary sensory neuron st imulation and the subsequent release of the tachykinins substance P and calcitonin- gene-related peptide. [...] Due to the success of the ESPBs to control acute pancreatit is pain, a mult idisciplinary team consist ing of Regional and Acute Pain (RAPM), Internal Medicine, Gastroenterology, and nurses worked together to create a protocol that includes ESP catheters. [...] The ESPBs and ESP catheters are a viable option as part of the mult imodal pain regimen for pain management of acute pancreatit is.