A COMPARISON OF EFFICACY OF ALCOHOL AND PHENOL FOR COELIAC PLEXUS BLOCK IN PATIENTS WITH CHRONIC UPPER ABDOMINAL CANCER PAIN FOR PAIN MANAGEMENT

Dr Shiva kumar K G, Dr Ananth Prasad Rao H T

Abstract


BACKGROUND: Several modalities of chronic pain management for upper abdominal cancers have been proposed. Among all, coeliac plexus block is being widely applied due to its increased success rate. Various techniques and drugs are being tried to improve its accuracy and prolong the duration of analgesic action and thus improve the quality of life of such patients. This is a comparative study between two drugs used for coeliac plexus block.

OBJECTIVES

To compare the efficacy between alcohol and phenol in coeliac plexus block by assessing the pain scores at after the procedure on 1st day, 1week, 1month, 3months, 6months

MATERIALS AND METHODS

Retrospective study consisting of 28 patients with chronic pain due to upper abdominal malignancy, unresponsive to NSAID’s and having severe side effects with strong opioids who underwent coeliac plexus block for pain management.The patients were divided into two groups- Group-A: 14 Patients who underwent Coeliac plexus block with 8% Phenol, Group B: 14 Patients who underwent Coeliac plexus block with 60% alcohol. Pain scores using Numerical Rating Scale (NRS)  assessed on the 1st day, 1stweek, at 1st month, 3rd month and 6th month with the help of hospital records were compared between the two groups using mann whitney u test.

RESULTS

The pain scores post procedure on day one, at 1 week, 1 month, 3rd month, 6th month were noted and mean pain scores were 4.92, 3.35,  4.14,  5.85 in group A and 5.07,  3.5, 4.5, 6.28 in group B respectively with p values remained more than 0.05

Conclusion

In our study we found that there was no significant difference in pain outcomes with either alcohol or phenol in patients undergoing coeliac plexus block for chronic/cancer pain management proving them to be equally effective.


Keywords


Celiac plexus, , nerve block, alcohol, phenol, pain, cancer pain, abdominal pain, visceral pain, symptom assessment.

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References


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