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Case Reports in Emergency Medicine
Volume 2014, Article ID 759508, 4 pages
http://dx.doi.org/10.1155/2014/759508
Case Report

Treatment of Acute Flares of Chronic Pancreatitis Pain with Ultrasound Guided Transversus Abdominis Plane Block: A Novel Application of a Pain Management Technique in the Acute Care Setting

1Department of Anesthesiology, School of Medicine and Dentistry, University of Rochester, 601 Elmwood Avenue, P.O. Box 604, Rochester, NY 14642, USA
2Department of Emergency Medicine, School of Medicine and Dentistry, University of Rochester, 601 Elmwood Avenue, P.O. Box 604, Rochester, NY 14642, USA

Received 27 June 2014; Accepted 29 August 2014; Published 25 September 2014

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2014 Daryl I. Smith et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The use of transversus abdominis plane (TAP) block to provide either analgesia or anesthesia to the anterior abdominal wall is well described. The technique yields high analgesic effectiveness and is opioid sparing and potentially of long duration with reported analgesia lasting up to 36 hours. When compared to neuraxial analgesia, TAP blocks are associated with a lower incidence of hypotension and motor blockade. TAP blocks are typically described as providing somatic analgesia only without any effect on visceral pain. There may be, however, certain conditions in which TAP blocks can provide effective analgesia in pain of visceral or mixed somatic and visceral origin. We describe two cases in which TAP blockade provided complete control of pain considered to be of visceral origin.