Erector Spinae Regional Anesthesia for Pain Control

Erector Spinae Regional Anesthesia for Pain Control in the Emergency Department

Interventional study to use erector spinae plane block (ESPB) on diagnoses of posterior or lateral rib fractures, vertebral fractures, pancreatitis, pancreatic cancer, renal colic, and back pain for multimodal pain therapy to determine its assistance with pain relief as well as the patient's use of opiates after block completion

Patients with the listed diagnoses will be offered and then consented for an ESPB under ultrasound guidance. They will rate their pain before and 30 minutes after the procedure using the ordinal categorical data on a numeric pain scale. Total patient opiate use will be gathered up to 8 hours after block completion.

Inclusion Criteria:

• Posterior/lateral rib or vertebral fractures
• Pancreatitis or pancreatic cancer
• Renal colic
• Back pain

Exclusion Criteria:

• Unstable vitals
• Infection or open wound over insertion site
• Prior allergic reaction to local anesthetic
• Pregnant females
• Patients <18 years old
• Altered mentation