Ultrasound-Guided Continuous Superficial Radial Nerve Block for Complex Regional Pain Syndrome

2016 ◽  
Vol 30 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Daryl S. Henshaw ◽  
Sarah L. Kittner ◽  
Jonathan D. Jaffe
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Nerve Block ◽  
Radial Nerve ◽  
Pain Syndrome ◽  
Ultrasound Guided ◽  
Superficial Radial Nerve

scholarly journals Ultrasound-guided popliteal sciatic nerve block in a pediatric patient with complex regional pain syndrome: a case report

2021 ◽  
Author(s):  
Patrícia Milena Souza Vinent ◽  
Eduardo José Silva Gomes de Oliveira ◽  
Caio Márcio Barros de Oliveira ◽  
Ed Carlos Rey Moura ◽  
Elizabeth Teixeira Noguera Servin ◽  
...  
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Complex Regional Pain Syndrome ◽  
Pediatric Patient ◽  
Nerve Block ◽  
Pain Syndrome ◽  
Sciatic Nerve Block ◽  
Ultrasound Guided

Three-Dimensional, Multiplanar, Ultrasound-Guided, Radial Nerve Block

2007 ◽  
Vol 32 (6) ◽  
pp. 516-521 ◽  
Author(s):  
Gillian L. Foxall ◽  
Jonathan G. Hardman ◽  
Nigel M. Bedforth
Keyword(s):  
Nerve Block ◽  
Radial Nerve ◽  
Three Dimensional ◽  
Ultrasound Guided

Continuous Peripheral Nerve Blocks at Home for Treatment of Recurrent Complex Regional Pain Syndrome I in Children

2005 ◽  
Vol 102 (2) ◽  
pp. 387-391 ◽  
Author(s):  
Christophe Dadure ◽  
Frederic Motais ◽  
Christine Ricard ◽  
Olivier Raux ◽  
Rachel Troncin ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Complex Regional Pain Syndrome ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Pain Syndrome ◽  
Nerve Blocks ◽  
Rescue Analgesia ◽  
Peripheral Nerve Blocks ◽  
Children And Parents ◽  
Bier Block

Background Recurrent complex regional pain syndrome I is not rare in the pediatric population. The authors conducted this study to evaluate the efficacy of continuous peripheral nerve blocks with elastomeric disposable pumps associated with initial Bier blocks for the treatment of recurrent complex regional pain syndrome I in children. Methods After parental informed consent, 13 children who did not respond to conventional complex regional pain syndrome treatment were included (mean age, 13 yr; range, 9-16 yr). After general anesthesia, peripheral nerve block was performed using 0.5 ml/kg lidocaine, 1%, with epinephrine and 0.5% ropivacaine injected in the peripheral nerve block catheter. Then, a 20-min Bier block was performed using a tourniquet and 0.2 ml/kg lidocaine, 1%; 3 ml/kg hydroxyethyl starch 130/06; and 5 mg/kg buflomedil injected intravenously. A solution of 0.1 ml . kg . h continuous ropivacaine, 0.2%, was infused through the catheter using an elastomeric pump for 96 h. Need for rescue analgesia, occurrence of side effects, and status of motor and sensory block were recorded at hours 1, 6, 12, 24, 48, 72, and 96. Children and parents completed a satisfaction assessment. All of the children had follow-up visits after 2 months. Results Postoperative analgesia was excellent. The median pain score was 0 for each period studied. Motor blockade was minimal before 12 h (median, 1) and absent thereafter. One child needed rescue analgesia. All children were able to walk easily after the initial 24-h period (walking score, > 4). Children and parents were all satisfied. Children returned home under parental surveillance beginning in the 24th hour. Neither peripheral nerve block nor Bier block caused side effects. After 2 months, none of the children exhibited any clinical symptom of recurrent complex regional pain syndrome. Conclusion Ambulatory continuous peripheral nerve block associated with an initial Bier block seems to be a significant and novel contribution to treat recurrent pediatric complex regional pain syndrome I. It allows complete pain relief, early mobilization, and rapid return home, representing a psychological advantage for these children.

scholarly journals Manajemen Nyeri pada Kasus Complex Regional Pain Syndrome (CRPS) di Tangan Kiri Disertai Nyeri Bahu dan Leher

2020 ◽  
Vol 1 (1) ◽  
pp. 25-34
Author(s):  
Taufiq Agus Siswagama ◽  
◽  
Ristiawan Muji Laksono ◽  
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Nerve Block ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Pain Syndrome ◽  
Ganglion Block

Latar belakang: Nyeri dan edema lengan pasca operasi mammae cukup sering terjadi dan menimbulkan permasalahan yang pelik bagi pasien dan tenaga kesehatan. Gejala dan tanda berupa nyeri progresif yang tidak sebanding dengan penyebabnya diikuti edema, perubahan warna kulit dan suhu serta gangguan fungsi gerak merupakan tanda dan gejala Complex Regional Pain Syndrome (CRPS). Diperlukan pemahaman tentang penegakan diagnosis dan terapi yang tepat agar pasien CRPS mendapatkan tatalaksana yang baik. Kasus: Pasien dengan nyeri dan edema lengan kiri yang progresif pasca operasi mammae aberant kiri, tidak memberikan hasil memuaskan dengan terapi konservatif selama sepuluh tahun, dilakukan terapi intervensi nyeri dengan stellate ganglion block, facet cervical-3 median branch block dan suprascapullar nerve block dilanjutkan dengan program fisioterapi menunjukkan hasil yang baik. Kesimpulan: Tatalaksana CRPS pada ekstremitas atas dengan terapi konservatif yang tidak menunjukkan hasil yang baik memerlukan terapi intervensi nyeri dikombinasi dengan fisioterapi agar memberikan hasil yang memuaskan.

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