KMID : 1155520220170010087
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Anesthesia and Pain Medicine 2022 Volume.17 No. 1 p.87 ~ p.92
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Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report -
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Ly Eric
Velamuri Sai Hickerson William Hill David M. Desai Jay Tsui Ban C. H. Herr Michael Jones Jerry
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Abstract
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Background: A supraclavicular brachial plexus nerve block provides analgesia for the shoulder, arm, and hand; however, the maximum safe duration for a continuous infusion remains controversial. A novel continuous peripheral nerve block (CPNB) technique combining the Lateral, Intermediate, and Medial femoral cutaneous nerves (termed the ¡®LIM¡¯ block) to provide analgesia to the lateral, anterior, and medial cutaneous areas of the thigh while preserving quadriceps strength will also be described in detail here.
Case: We present a complex case in which simultaneous utilization of an unilateral supraclavicular CPNB (5 weeks) and bilateral LIM CPNB (5 days) are successfully performed to provide analgesia for a traumatic degloving injury resulting in multiple surgeries.
Conclusions: The analgesic plan in this case study eliminated previous episodes of opioid-induced delirium, facilitated participation in recovery, and removed concerns for respiratory depression and chronic opioid use in a patient at particular risk for both issues.
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KEYWORD
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Acute pain service, Amputation, Analgesia, Anesthesia, Local anesthesia, Nerve block
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