Summary
A study is presented of the use of continuous epidural block for the relief of pain in eight cases of acute pancreatitis. This has been shown to be a satisfactory method of controlling the severe abdominal pain, but it is stressed that the patients must be selected. The diagnosis must be certain, the ecg negative for recent coronary infarction, and treatment for shock and electrolyte deficiency must already have been started.
Résumé
Dans une étude de huit cas de pancréatite aigue, on a démontré que ľanesthésie épidurale est un moyen efficace de contrôler la douleur. Il faut choisir les malades pour ce traitement. Ľecg ne doit pas déceler ďinfarctus récent. Le traitement du choc et de la déficience en electrolytes doit être déja commencé.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Blumental, H. T. &Probstein, J. G. Pancreatitis: A Clinical Pathologic Correlation. Chicago: Charles C Thomas (1959).
McWhorter, G. L. Acute Pancreatitis. Arch. Surg.25: 958 (1932).
Marion, P. Sur le traitement des pancréatities aîgues par les infiltrations splanchniques. Lyon Chir.40: 315 (1945).
De Takats, G. &Walter, L. E. Treatment of Pancreatic Pain by Splanchnic Nerve Section. Surg. Gynec. & Obst.85: 742 (1947).
Gage, M. Quoted by A. Ochsner in Discussion. Ann. Surg.128: 637 (1948).
Orr, R. B. &Warren, K. W. Continuous Epidural Analgesia in Acute Pancreatitis. Lahey Clin. Bull.6: 204 (1950).
Berk, J. E. &Kruperman, L. W. The Use of Fractional Epidural Block in the Management of Acute Pancreatitis. Am. J. Med. Sc.334: 507 (1952).
Goodman, L. S. &Gillman, A. The Pharmacological Basis of Therapeutics, 3rd edition. New York: MacMillan. (1965).
Skinner, B. S. A New Epidural Cannula. Canad. Anaesth. Soc. J.13: 622 (1966).
Gottesman, J.;Casten, D.; &Beller, A. J. Changes in the Electrocardiogram Induced by Acute Pancreatitis: J.A.M.A.123: 892 (1943).
Elliott, D. W. Treatment of Acute Pancreatitis with Albumin and Whole Blood. A.M.A. Arch. Surg.7: 573 (1957).
Stephenson, H. E.;Pfeffer, R. B.; &Seypol, G. M. Acute Haemorrhagic Pancreatitis: Report on a Case with Cortisone Treatment. A.M.A. Arch. Surg.65: 307 (1952).
Edmondson, H. A.;Berne, C. J.;Homann, R. E.; &Wertman, M. Calcium, Potassium, Magnesium and Amylase Disturbances in Acute Pancreatitis. Am. J. Med.12: 34 (1952).
Jones, C. A. Medical Management of Pancreatitis. A.M.A. Arch. Int. Med.96: 332 (1956).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Browne, R.A., Ashworth, E.J. The use of epidural block in acute pancreatitis: A report of eight cases. Can. Anaes. Soc. J. 16, 416–424 (1969). https://doi.org/10.1007/BF03004486
Issue Date:
DOI: https://doi.org/10.1007/BF03004486