Health Condition 1: null- Stage 4 upper abdominal cancer patients with pain and NRS more than 4
Conditions
Interventions
Intervention1: Ultrasound guided celiac plexus block: o The patient will be placed in the supine position. After cleaning and draping, low frequency curved probe will be used in the longitudinal axis
Sponsors
Dr Sushma Bhatnagar
Dr Anuradha Patel
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosed case of upper abdominal cancer (lower third of the esophagus, stomach, pancreas, gall bladder, biliary tract) 2. Age 18-80 years 3. Either gender 4. Stage 4 (spread of cancer to distant organs like liver, lungs, brain or bones) 5. Patients in need of opioids for upper abdominal pain 6. NRS > 4 7. Feasible CPB on recent CT scan
Exclusion criteria
Exclusion criteria: 1. Patient on anticoagulation therapy 2. Local or intra-abdominal infection 3. Sepsis 4. Huge ascites 5. Patients with bowel obstruction 6. Patients with opioid addiction or history of drug abuse 7. Patients refusal to participate in the study 8. Clotting abnormalities 9. Psychiatric illness affecting cooperation 10. Previous history of neurolytic block 11. Unstable cardiovascular and respiratory diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Analgesic efficacy in terms of opioid consumption and quality of life after 2 and 4 weeks of the blockTimepoint: Analgesic efficacy in terms of opioid consumption and quality of life after 2 and 4 weeks of the block | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparing efficacy of both the techniques in terms of 1. NRS pain scores 2. Side effects of block techniques 3. Patient satisfaction 4. Patient discomfort during the procedure 5. Duration of complete and effective analgesia Timepoint: Analgesic efficacy in terms of opioid consumption and quality of life after 2 and 4 weeks of the block | — |
Countries
India
Contacts
Public ContactSushma Bhatnagar
AIIMS, New Delhi
Outcome results
None listed