Celiac plexus block

37 year old male present with severe abdominal pain due to chronic pancreatis. Inoperable malignant intraductal papillary mucinous neoplasms. Post palliative gastrojejunostomy

Procedure

Patient under monitored anesthesia care.
Prone position
Two 22G Chiba needles were advanced under CT guidance.
Position of needle confirmed with contrast injection.
The needles were positioned on either side of the celiac trunk

A cocktail of drugs (Absolute alocohol, Bupivacaine and contrast in the ratio of 6:3:1) were injected into the celiac plexus
Post procedure check CT was done to ensure no intra procedure or immediate post procedural complications.
Patient shifted to an observation ward for monitoring
Patient was asymptomatic and discharged in the evening

Advantages

Immediate pain relief
No recovery time unlike surgery as procedure done through fine needle
Day admission – same day discharge
Affordable
Procedure can be performed for high risk category patient

Doctors

The procedure was performed by a team of Aster Medical Imaging radiologists working onsite at Aster Medcity, Cochin.

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