Additional Topics: Pain Management

2018 ◽  
pp. 255-260
Author(s):  
Ruchir Gupta
Keyword(s):  
Pain Management ◽  
Anesthetic Management ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Pain Syndrome ◽  
Pregnant Patient ◽  
Trigger Points ◽  
Ganglion Block ◽  
Lower Back ◽  
Myofacial Pain

In this chapter several topics related to anesthesia for pain management are discussed. Subtopics include anesthetic management of patients with complex regional pain syndrome (CRPS) types 1 and 2, performing a stellate ganglion block, and prevention of local anesthetic toxicity. The chapter begins with a discussion of the mechanisms of pain onset. Next, evaluation and treatment of chronic pain are addressed. Trigger points in myofacial pain are outlined and the mechanism of transcutaneous electrical nerve stimulation (TENS) presented. A case involving a pregnant patient on chronic methadone therapy is presented. Management of cancer pain, post-amputation pain, and lower back pain and sciatica are also addressed. Each scenario is presented as a short, three- to four-question additional topic.

scholarly journals Magnesium Sulfate as an Adjuvant in Ultrasound Guided Stellate Ganglion Block for Post Mastectomy Pain Syndrome

2021 ◽  
Vol 89 (6) ◽  
pp. 975-985
Author(s):  
GHADA F. AL-RAHMAWY, M.D.; ENAS A. ABD AL-MOTELEB, M.D. ◽  
MONA G. EL-EBEIDY, M.D.; MOHAMED A. HAFEZ, M.Sc.
Keyword(s):  
Magnesium Sulfate ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Pain Syndrome ◽  
Ultrasound Guided ◽  
Ganglion Block

Postmastectomy pain syndrome after preoperative stellate ganglion block: a randomized controlled trial

2021 ◽  
Vol 87 (7) ◽  
Author(s):  
Ahmed S. SALMAN ◽  
Dina N. ABBAS ◽  
Mai M. ELRAWAS ◽  
Mahmoud A. KAMEL ◽  
Ahmed M. MOHAMMED ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Pain Syndrome ◽  
Ganglion Block ◽  
Randomized Controlled

scholarly journals Use of Stellate Ganglion Local Anesthetic Blockade for Treatment of Complex Regional Pain Syndrome Type-II of the Upper Extremity: A Case Report of One Patient’s Experience after Traumatic Hand Injury

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ahmad S ◽  
◽  
Sabia M ◽  
Keyword(s):  
Neuropathic Pain ◽  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Pain Syndrome ◽  
Syndrome Type ◽  
Type Ii ◽  
Ganglion Block ◽  
Cord Injury

Background: Complex Regional Pain Syndrome (CRPS) is a neuropathic pain syndrome associated with edema, muscle weakness, and hyperhidrosis. It can be precipitated by fracture, surgery, and spinal cord injury and usually involves the ipsilateral and sometimes contralateral extremity. Case Details: A 47-year-old male with CRPS Type-II involving the upper extremity had severe neuropathic pain that was limiting his ADLs despite medical, physical and occupational therapy. This case discusses the use of stellate ganglion block in the treatment of upper extremity CRPS Type-II. Conclusion: Stellate ganglion blockade is an effective adjuvant therapy in the treatment of CRPS Type-II when conservative therapy has failed to provide improvement in pain, highlighting a need for a multimodal therapeutic strategy. Keywords: Stellate ganglion block; Chronic pain; Complex regional pain syndrome type-II; Bupivacaine

scholarly journals Postoperative COVID-19 Infection After Pediatric Cardiac Surgery: Two Cases

2021 ◽  
Author(s):  
Ömer Faruk Savluk ◽  
Yasemin Yavuz ◽  
Nihat Cine ◽  
Abdullah Arif Yılmaz ◽  
Aysu Türkmen Karaağaç ◽  
...  
Keyword(s):  
Heart Failure ◽  
Nervous System ◽  
Severe Pain ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Pain Syndrome ◽  
Literature Information ◽  
Ganglion Block ◽  
Raynaud Phenomenon ◽  
Sympathetic Nervous

Stellate ganglion block is used as an adjunctive therapy method in various painful situations mediated by the sympathetic nervous system, especially complex regional pain syndrome. The process after medical and stellate ganglion block treatment in a 66-year-old female patient diagnosed with hypertension, ischemic heart disease, heart failure, Raynaud phenomenon, who presented to our algology outpatient clinic for complaints of bruising and severe pain at the fingertip, is presented with literature information.

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