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Articles linked to this work by shared authors, journal, and citation graph.

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Continuous peripheral nerve block for upper limb ischemic pain: a case report.

Hermann Dos Santos Fernandes1, Pedro E P Lima Filho1, Áquila L Gouvêa1

  • 1Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Anestesia, São Paulo, SP, Brazil.

Brazilian Journal of Anesthesiology (Elsevier)
|July 7, 2021
PubMed
Summary

Continuous peripheral nerve blocks offer effective pain relief for patients with Peripheral Arterial Obstructive Disease (PAOD) awaiting surgery. This approach provides a safe and beneficial alternative for managing severe ischemic pain, especially in resource-limited settings.

Keywords:
Chronic painPeripheral arterial diseasePhantom limbRegional anesthesia

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Area of Science:

  • Anesthesiology
  • Vascular Surgery
  • Pain Management

Background:

  • Peripheral Arterial Obstructive Disease (PAOD) frequently causes severe ischemic pain.
  • Patients in low-income settings often face delays for necessary vascular surgery.
  • Effective pain management is crucial during the waiting period for surgical intervention.

Observation:

  • A case study involved a female patient experiencing severe ischemic pain due to acute upper limb arterial obstruction.
  • The patient underwent a continuous infraclavicular brachial plexus block for analgesia.
  • The nerve block provided satisfactory pain control until the scheduled amputation surgery.

Findings:

  • Continuous infraclavicular brachial plexus block demonstrated effective pain management for acute limb ischemia.
  • The approach ensured good pain control in the early postoperative period following amputation.
  • This method proved to be a safe and effective analgesic option for ischemic pain.

Implications:

  • Continuous peripheral nerve blocks can serve as a valuable analgesic strategy for PAOD patients awaiting surgery.
  • This technique offers a potentially safer alternative with fewer side effects compared to systemic analgesics.
  • The findings support the use of regional anesthesia in resource-limited healthcare systems for managing ischemic pain.