title: Celiac plexus block following high-dose opiates for chronic noncancer pain in a four-year-old child.
abstract: This is the first case report documenting the use of a neurolytic celiac plexus block for relieving chronic noncancer pain in a pediatric patient. The child was a 4-yr-old male with an unknown form of inflammatory bowel disease since 1 yr of age. Chronic abdominal pain became a problem at 3 yr of age, following multiple bowel resections; continuous intravenous narcotic administration was implemented for pain control. The patient's pain became refractory to high-dose morphine administration (maximum dose, 267 mg/kg/day, iv), and, for that reason, a CT-guided neurolytic celiac plexus block was performed. This procedure resulted in improved pain control along with a major reduction in narcotic use to 7 mg/kg/day of morphine.
authors.forename: D
authors.initials: D
authors.lastname: Tanelian
authors.forename: M J
authors.initials: MJ
authors.lastname: Cousins
mesh_terms: D002447:Celiac Plexus / Q000000981:diagnostic imaging; D002675:Child, Preschool; D004361:Drug Tolerance; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000503:physiopathology; D008297:Male; D009294:Narcotics / Q000008:administration & dosage / Q000627:therapeutic use; D009407:Nerve Block / Q000379:methods*; D010146:Pain / Q000188:drug therapy; D059408:Pain Management; D014057:Tomography, X-Ray Computed
chemical_list: D009294:Narcotics