{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:19:17Z","timestamp":1787761157946,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Acute pancreatitis is one of the major causes of abdominal pain and is mainly related to either gallstone or heavy alcohol intake. We have managed a patient with acute pancreatitis with a bilateral erector spinae catheter because he was not suitable for other analgesics. A 72-year-old male with a known alcoholic patient was admitted with severe acute pancreatitis. He also had the chronic obstructive pulmonary disease (COPD) and oesophageal reflux disease. He was allergic to nonsteroidal anti-inflammatory medications and opioids. Therefore, his pain was managed successfully with bilateral erector spinae block with a continuous infusion with 0.125% levobupivacaine 1 ml\/hr background infusion and 30 ml every 4 hours using a CADD Solis regional analgesia pump. Although erector spinae block is relatively new and to date, the optimal dose is not determined. We inserted the catheters at the T8 level; however, further study is needed to determine the ideal insertion site and drug volumes. We have mentioned key features, techniques, and management plans and reviewed the latest literature in this case report.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sja.sja_292_22","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T08:16:27Z","timestamp":1671696987000},"page":"87-90","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Managing acute pancreatitis pain with bilateral erector spinae plane catheters in a patient allergic to opioids and NSAIDS"],"prefix":"10.4103","volume":"17","author":[{"given":"Samaresh","family":"Das","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilay","family":"Chatterjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhro","family":"Mitra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-16-20240909","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s13054-016-1292-7","article-title":"Thoracic epidural analgesia: A new approach for the treatment of acute pancreatitis?","volume":"20","author":"Windisch","year":"2016","journal-title":"Crit Care"},{"key":"R3-16-20240909","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/AAP.0000000000000451","article-title":"The erector spinae plane block: A novel analgesic technique in thoracic neuropathic pain","volume":"41","author":"Forero","year":"2016","journal-title":"Reg Anesth Pain Med"},{"key":"R4-16-20240909","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1007\/s12630-020-01875-2","article-title":"Mechanisms of action of the Erector spinae plane (ESP) block: A narrative review","volume":"68","author":"Chin","year":"2021","journal-title":"Can J Anaesth"},{"key":"R5-16-20240909","doi-asserted-by":"crossref","first-page":"e0224487","DOI":"10.1371\/journal.pone.0224487","article-title":"Influence of injectate volume on paravertebral spread in erector spinae plane block: An endoscopic and anatomical evaluation","volume":"14","author":"Choi","year":"2019","journal-title":"PLoS One"},{"key":"R6-16-20240909","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/2452-2473.320806","article-title":"Erector spinae plane block for pain control in patients with pancreatitis in the emergency department","volume":"21","author":"Gopinath","year":"2021","journal-title":"Turk J Emerg Med"},{"key":"R7-16-20240909","doi-asserted-by":"crossref","first-page":"1298.e5","DOI":"10.1016\/j.ajem.2020.02.005","article-title":"Successful emergency pain control for acute pancreatitis with ultrasound-guided erector spinae plane blocks","volume":"38","author":"Mantuani","year":"2020","journal-title":"Am J Emerg Med"},{"key":"R8-16-20240909","doi-asserted-by":"crossref","first-page":"e01543","DOI":"10.1213\/XAA.0000000000001543","article-title":"Erector spinae plane continuous catheters for refractory abdominal pain related to necrotizing pancreatitis: A case report","volume":"15","author":"Allos","year":"2021","journal-title":"A Pract"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_292_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:25:26Z","timestamp":1787757926000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_292_22"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_292_22","relation":{},"ISSN":["1658-354X"],"issn-type":[{"value":"1658-354X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}