Anterior approach to the celiac plexus block Journal Article

  


Authors: Jain, S.; Ketchedjian, A. G.
Article Title: Anterior approach to the celiac plexus block
Abstract: For many patients with poorly tolerated intractable upper abdominal cancer pain, who have undergone multiple trials of a variety of medications with ineffective outcome, celiac plexus blockade may prove to be a valuable option. Although it is wise to conduct conservative therapy initially, occasionally it is not adequate; and the side effects of the pharmacologic regimen alter the quality of life as much as the original pain syndrome. Patient consultation, complete evaluation, patient education, and good family and professional support improve the basis of effective pain control. The celiac plexus blockade could be conducted by a variety of approaches, including the classic retrocrural, transaortic and transabdominal techniques. Understanding the anatomy and the physiologic consequences of this procedure improve patient selection and outcome. Celiac plexus block is an effective tool for inadequately controlled upper abdominal cancer pain. Despite the low risk-to-benefit ratio, patients need to be managed with less invasive regimens first and undergo proper evaluation and therapy of their pain syndrome; then they will benefit most in the long term.
Keywords: adult; clinical feature; case report; cancer pain; abdominal pain; analgesia; nerve block; celiac plexus; human; female; article
Journal Title: Pain Digest
Volume: 5
Issue: 5
ISSN: 0938-9016
Publisher: Springer New York LLC  
Date Published: 1995-01-01
Start Page: 264
End Page: 267
Language: English
PROVIDER: scopus
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029561239&partnerID=40&md5=b3333417e76931ba1c199e50a73e2739
Notes: Article -- Export Date: 28 August 2018 -- Source: Scopus