Abstract

The diagnosis of early cancer and therapeutic options in advanced management has improved of patients expectancy of life. However, pain management for these patients is important concerns since pain is the most common symptom in 88% of these patients with an advanced stage of the disease. Aim: This study aimed to assess the effectiveness of a neurolytic celiac plexus block versus a splanchnic nerve block for control of pain and the effects of these methods on the quality of life. Materials and Methods: This is a randomized comparative study from September 2018 to August 2019 in Tamil Nadu Government Multi Super Speciality Hospitals Omandurar Estate. A total of 30 patients, 15 in each group, were allocated randomly into celiac plexus block and splanchnic nerve block, and the results were analyzed statistically and discussed below. Results: Out of 30 patients, 22 were males, and eight were females. The mean age was 53.07 years in group splanchnic nerve block (SNB) and 56.6 years in group celiac plexus block (CPB), respectively. There was a significant decrease in visual analog scale score in group SNB versus group CPB on the 1" week and 2 week of post-procedure and last week. Strong opioid consumption significantly decreased in group SNB versus group CPB at following times of post-procedure visit during days 7, 14, 28, 42, 5670, and 84. In the SNB group nine patients had a backache, four had diarrhea, and two patients had hypotension. In the CPB group three patients had a backache, seven had diarrhea, and eight patients had hypotension. Conclusion: The statistical data and results of this study illustrate that a SNB appears to be clinically comparable to the CPB However all statistically significant differences are of little clinical value.

Description