Percutaneous ultrasound-guided celiac plexus neurolysis in advanced upper abdominal cancer pain

Tadros, Mary Y.; Elia, Remon Zaher

doi:10.1016/j.ejrnm.2015.06.009

Cited by 9 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The decrease in seriousness of pain at its average before and at different intervals after CPN recorded highly significant statistical difference (P value < 0.001). 18 Similarly, in group II in which we used 75% alcohol, the baseline VAS score was 8.03 which decreased to 2.36 at 24 hours, 1.60 after 1 week and was recorded as 1.53 at 1 month, 1.60 at 2 months and 2.00 at 3 months intervals.…”

Section: Degree Of Pain Reliefmentioning

confidence: 86%

Controlled comparison of ropivacaine with dexmedetomidine, clonidine and magnesium sulphate as adjuvant in caudal epidural block in paediatric population for infra-umbilical surgeries

Verma¹,

Singh

Singh³

et al. 2021

IJCA

View full text Add to dashboard Cite

Patients suffering from advanced upper abdominal malignancies have pain as predominant symptom affects their quality of life and survival. USG guided coeliac plexus neurolysis become benevolence in these patients on part of their pain management and quality of life improvement. To compare the efficacy of USG guided coeliac plexus neurolysis for pain relief in upper abdominal malignancies by using different concentration of alcohol (50% vs 75%).This Prospective, comparative, randomised double blinded study was conducted during Sep 2019 – Aug 2020 at our tertiary care centre. Total 60 cases were taken as per following inclusion and exclusion criteria and randomly divided into 2 groups i.e. 30 each group, we compare Visual Analogue Scale (VAS) score, quality of life (QOL) and need of rescue analgesia profile between the groups to know the efficacy of USG guided coeliac plexus block. In our study, we observed that the baseline mean VAS score in group I was 8.26±0.78 while in group II was 8.03±0.76. No significant difference was found in mean VAS score at this time between the groups (p=0.24). The baseline mean QOL score in group-I was 77.46±3.40 while for the cases of group II the mean QOL score was 77.36±3.33. No significant difference was found in mean QOL score at baseline between the groups (p=0.90). The baseline mean morphine consumption in group-I was 113.33±39.24 mg while for the cases of group-II the mean morphine consumption was 120.33±38.37mg. No significant difference was found in mean morphine consumption at this time between the groups (p=0.48).Both groups having 50% alcohol and 75% alcohol decreases the VAS score from baseline in patients having upper abdominal malignancies along with QOL and dosages of rescue analgesia whereas no significant difference in VAS score in patients of both groups.

show abstract

Section: Degree Of Pain Reliefmentioning

confidence: 86%

Controlled comparison of ropivacaine with dexmedetomidine, clonidine and magnesium sulphate as adjuvant in caudal epidural block in paediatric population for infra-umbilical surgeries

Verma¹,

Singh

Singh³

et al. 2021

IJCA

View full text Add to dashboard Cite

show abstract

“…However, there are only observational studies on the ultrasound-guided celiac plexus neurolysis showing positive results. [ 15 16 17 ] Two recent meta-analyses have shown endoscopic-guided celiac ganglion neurolysis is effective in relieving pain in 80% and 72% of cancer patients, respectively. [ 18 19 ] Furthermore, the Cochrane review had demonstrated that celiac plexus neurolysis has fewer adverse effects and can be considered for pain relief.…”

Section: Ethodsmentioning

confidence: 99%

Indian society for study of pain, cancer pain special interest group guidelines on interventional management for cancer pain

Ahmed¹,

Thota

Chatterjee

et al. 2020

Indian J Palliat Care

View full text Add to dashboard Cite

The Indian Society for Study of Pain (ISSP), Cancer Pain Special Interest Group guidelines on interventional management for cancer pain in adults provide a structured, stepwise approach which will help to improve the management of cancer pain and to provide the patients with minimally acceptable quality of life. The guidelines have been developed based on the available literature and evidence, to suit the needs, patient population, and situations in India. A questionnaire based on the key elements of each sub draft addressing certain inconclusive areas where evidence was lacking was made available on the ISSP website and circulated by e-mail to all the ISSP and Indian Association of Palliative Care members. We recommend using interventional management when conventional therapy fails to offer adequate benefits or causes undesirable side effects. Vertebroplasty should be offered to patients with uncontrolled bone pain when expertise is available.

show abstract

Sympathetic Blockade

Day¹,

Justiz²,

Day³

et al. 2018

Essentials of Regional Anesthesia

View full text Add to dashboard Cite

Percutaneous ultrasound-guided celiac plexus neurolysis in advanced upper abdominal cancer pain

Cited by 9 publications

References 16 publications

Controlled comparison of ropivacaine with dexmedetomidine, clonidine and magnesium sulphate as adjuvant in caudal epidural block in paediatric population for infra-umbilical surgeries

Controlled comparison of ropivacaine with dexmedetomidine, clonidine and magnesium sulphate as adjuvant in caudal epidural block in paediatric population for infra-umbilical surgeries

Indian society for study of pain, cancer pain special interest group guidelines on interventional management for cancer pain

Sympathetic Blockade

Contact Info

Product

Resources

About