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Celiac plexus block for interventional radiology.

M S Whiteman, H Rosenberg, P H Haskin

    Radiology
    |December 1, 1986
    PubMed
    Summary
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    Celiac plexus block effectively controls pain during biliary procedures, reducing narcotic use. Thoracic epidural blockade was ineffective for deep visceral pain, but celiac plexus block offers a desirable analgesia technique.

    Area of Science:

    • Anesthesiology
    • Gastroenterology
    • Pain Management

    Background:

    • Biliary manipulations can cause significant visceral pain.
    • Intravenously administered narcotics are commonly used for pain control but have side effects.

    Purpose of the Study:

    • To evaluate the effectiveness of regional anesthesia, specifically celiac plexus and thoracic epidural blockade, for pain control during biliary manipulations.

    Main Methods:

    • Regional anesthesia techniques, including celiac plexus block and/or thoracic epidural blockade, were administered to 31 patients undergoing 48 biliary procedures.
    • Anesthesiologists monitored patients in the radiology department.

    Main Results:

    • Thoracic epidural blockade failed to alleviate deep visceral pain.

    Related Experiment Videos

  • Celiac plexus blockade, combined with local skin anesthesia, significantly reduced pain and the need for intravenous narcotics.
  • Two patients experienced transient hypotension; no other complications occurred.
  • Patients previously treated with intravenous analgesia reported superior pain relief and preference for regional anesthesia.

    • Conclusions:

    • Celiac plexus block is an effective and desirable technique for analgesia during biliary manipulations, particularly major interventions.
    • Regional anesthesia, specifically celiac plexus block, offers an alternative to intravenous narcotics for pain management in these procedures.