Riffat Saeed, Iram Qamar, Irfan Ali Kakepoto, Naveed Shahzad, Tariq Bangush, Arif Javed.
Comparison of effectiveness and complications with two strengths of dilution of alcohol in celiac plexus in the management of relieving pain.
Pak J Med Health Sci Jan ;13(4):1015-7.

Background : The celiac plexus is a complex network of nerves located in the abdomen, in close relation to the celiac trunk, superior mesenteric artery and renal arteries branching from the abdominal aorta. A celiac plexus block by means of fluoroscopy or under computed tomography guided injection is utilized to treat intractable pain from cancers like pancreatic cancer. Aim : To compare the effectiveness and complications with two strengths of dilution of alcohol in celiac plexus block in the management of relieving pain. Methodology: This is a randomized control trial study, carried out in the Department of Anaesthesiology, Shaikh Zayed Hospital Lahore , from 15-06-2017 to 14-06-2018. The student t-test was applied for celiac block and Chi-square test was applied for pain with coin scale. Both male and female patients were included in this study. Results: The mean age of patients was 57.10±11.4 in group A (50% dilution ) and 52.14±12.4 years in group B (100% dilution). Fifty four percent were male and 46 % were female in group A and 52 % male and 48% were female patients in group B . According to pain scale reported by National Institutes of Health 13 (26%) patients had mild pain relief in group A and 12 (24%) in group B, 12 (24%) patients had moderate pain relief in group A and 13 (26%) in group B, while 25 (50%) patients had decrease in the maximum pain relief intensity in group A and also 25 (50%) in group B. Conclusion: It is concluded that with 100% dilution the rate of complication like backache, diarrhea, hypotension are more as compare to 50% dilution, as pain relief will be equal with both dilutions.

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