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Related Experiment Videos

Long-term brachial plexus anesthesia using a subcutaneous implantable injection system. Case report

J L Aguilar1, V Domingo, D Samper

  • 1Department of Anesthesia, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain.

Regional Anesthesia
|May 1, 1995
PubMed
Summary

Continuous brachial plexus anesthesia using a self-administered local anesthetic port provided complete pain relief for sympathetically maintained pain. Further controlled studies are needed to confirm safety and efficacy.

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Area of Science:

  • Anesthesiology
  • Pain Management
  • Neurology

Background:

  • Continuous brachial plexus anesthesia with local anesthesia has been utilized since 1946 for surgical procedures, postoperative pain, and sympathetic nerve blocks.
  • The efficacy of this technique for sympathetically maintained pain remains unestablished.

Observation:

  • A case report details a 43-year-old woman with sympathetically maintained pain who received brachial plexus anesthesia via an axillary catheter connected to a port for self-administration of local anesthesia.
  • The port facilitated self-administration of local anesthesia, enabling continuous brachial plexus blockade.

Findings:

  • Self-administration of local anesthesia resulted in complete pain relief without motor impairment.
  • The device functioned for 118 days, aiding physical therapy.

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  • An infection at the port's entry site necessitated its removal.
  • Implications:

    • This case suggests a potential benefit of patient-controlled continuous brachial plexus anesthesia for sympathetically maintained pain.
    • Controlled studies are required to validate the safety and efficacy of this therapeutic approach.
    • Further research could optimize delivery systems and reduce complication risks like infection.