Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review

Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in th...

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Main Authors: Ashley Meyer, Campbell Belisle Haley, Eisa Razzak, Amanda Dos Santos, Kyle Dornhofer, Edmund Hsu, Soheil Saadat, John Christian Fox, Megan Guy
Format: Article
Language:English
Published: The Korean Society of Emergency Medicine 2024-12-01
Series:Clinical and Experimental Emergency Medicine
Subjects:
Online Access:http://ceemjournal.org/upload/pdf/ceem-23-171.pdf
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author Ashley Meyer
Campbell Belisle Haley
Eisa Razzak
Amanda Dos Santos
Kyle Dornhofer
Edmund Hsu
Soheil Saadat
John Christian Fox
Megan Guy
author_facet Ashley Meyer
Campbell Belisle Haley
Eisa Razzak
Amanda Dos Santos
Kyle Dornhofer
Edmund Hsu
Soheil Saadat
John Christian Fox
Megan Guy
author_sort Ashley Meyer
collection DOAJ
description Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized. Our scoping review aims to synthesize current knowledge on the safety and efficacy of ESPB in the management of patients experiencing intractable, nonsurgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for nonsurgical abdominal pain. A total of 14 journal articles were included: 12 case-based studies, one systematic review, and one narrative review. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and no complications were reported in any cases. This scoping review provides support for the use of ESPB to manage intractable, nonsurgical abdominal pain. ESPB has demonstrated efficacy in alleviating various conditions such as functional abdominal pain, renal colic, pancreatitis, herpetic pain, and cancer-related pain. Theoretical risks such as pneumothorax, bleeding, and infection are possible, although the studies reviewed did not report such complications.
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spelling doaj-art-102e7a501c1443b0bb8de4c902c9a91a2025-08-20T03:16:46ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252024-12-0111437938610.15441/ceem.23.171543Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping reviewAshley Meyer0Campbell Belisle Haley1Eisa Razzak2Amanda Dos Santos3Kyle Dornhofer4Edmund Hsu5Soheil Saadat6John Christian Fox7Megan Guy8 University of California, Irvine, School of Medicine, Irvine, CA, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA Department of Emergency Medicine, University of California, Irvine, Orange, CA, USAAbdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized. Our scoping review aims to synthesize current knowledge on the safety and efficacy of ESPB in the management of patients experiencing intractable, nonsurgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for nonsurgical abdominal pain. A total of 14 journal articles were included: 12 case-based studies, one systematic review, and one narrative review. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and no complications were reported in any cases. This scoping review provides support for the use of ESPB to manage intractable, nonsurgical abdominal pain. ESPB has demonstrated efficacy in alleviating various conditions such as functional abdominal pain, renal colic, pancreatitis, herpetic pain, and cancer-related pain. Theoretical risks such as pneumothorax, bleeding, and infection are possible, although the studies reviewed did not report such complications.http://ceemjournal.org/upload/pdf/ceem-23-171.pdfabdominal painerector spinae plane blocknerve blockdiagnostic imagingconduction anesthesia
spellingShingle Ashley Meyer
Campbell Belisle Haley
Eisa Razzak
Amanda Dos Santos
Kyle Dornhofer
Edmund Hsu
Soheil Saadat
John Christian Fox
Megan Guy
Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
Clinical and Experimental Emergency Medicine
abdominal pain
erector spinae plane block
nerve block
diagnostic imaging
conduction anesthesia
title Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
title_full Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
title_fullStr Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
title_full_unstemmed Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
title_short Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
title_sort erector spinae plane block for intractable nonsurgical abdominal pain a scoping review
topic abdominal pain
erector spinae plane block
nerve block
diagnostic imaging
conduction anesthesia
url http://ceemjournal.org/upload/pdf/ceem-23-171.pdf
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