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{
    "pk": 1204,
    "title": "Ultrasound-guided Erector Spinae Plane Block in Emergency Department for Abdominal Malignancy Pain: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Severe breakthrough pain is a common occurrence in patients with cancer and is responsible for thousands of emergency department (ED) visits each year. While opioids are the current mainstay of treatment, they have multiple limitations including inadequate control for a quarter of patients with cancer. The ultrasound-guided erector spinae plane block (ESPB) has been used in the ED to effectively treat pain for pathologies such as acute pancreatitis, since it provides somatic and visceral analgesia.\nCase Report:\n In this case report we describe the use of an ESPB to treat breakthrough pain safely and effectively in a 54-year-old female with a history of metastatic colon cancer.\nConclusion:\n The ESPB may have utility in addressing well documented disparities in pain treatment in the ED, but additional research is needed to understand side effects, duration of pain control, and clinical outcomes of the ESPB.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "ultrasound-guided nerve block"
        },
        {
            "word": "erector spinae plane block, breakthrough pain, cancer pain"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2kr9m8f8",
    "frozenauthors": [
        {
            "first_name": "Henry",
            "middle_name": "",
            "last_name": "Ashworth",
            "name_suffix": "",
            "institution": "Alameda Health System, Highland Hospital, Department of Emergency Medicine,\nOakland, California",
            "department": "None"
        },
        {
            "first_name": "Noah",
            "middle_name": "",
            "last_name": "Sanders",
            "name_suffix": "",
            "institution": "Alameda Health System, Highland Hospital, Department of Emergency Medicine,\nOakland, California",
            "department": "None"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Mantuani",
            "name_suffix": "",
            "institution": "Alameda Health System, Highland Hospital, Department of Emergency Medicine,\nOakland, California",
            "department": "None"
        },
        {
            "first_name": "Arun",
            "middle_name": "",
            "last_name": "Nagdev",
            "name_suffix": "",
            "institution": "Alameda Health System, Highland Hospital, Department of Emergency Medicine,\nOakland, California",
            "department": "None"
        }
    ],
    "date_submitted": "2022-11-05T21:05:58Z",
    "date_accepted": "2022-11-05T21:05:58Z",
    "date_published": "2022-11-05T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1204/galley/943/download/"
        }
    ]
}