Two years follow-up of continuous erector spinae plane block in a patient with upper extremity complex regional pain syndrome type I.
Reg Anesth Pain Med
; 47(7): 434-436, 2022 07.
Article
en En
| MEDLINE
| ID: mdl-35396336
ABSTRACT
BACKGROUND:
Recalcitrant complex regional pain syndrome (CRPS) type 1 is a devastating condition. CASE PRESENTATION We report a case of a patient in their twenties with left hand and forearm CRPS type I, transiently responsive to spinal cord stimulation, thoracic sympathectomy, and multimodal analgesia. The investigators initiated a trial of a single-shot erector spinae plane block at the T2 level, resulting in a clinically significant improvement in pain, function, vasomotor and sudomotor symptoms transiently for a 36-hour interval. As a result, a permanent e-port catheter implantation under combined ultrasound and fluoroscopic guidance was trialed. Two-year follow-up of the continuous erector spinae plane block (CESPB) indicated an 80% reduction in pain scores from baseline, and a 50% reduction in opiate consumption, with a clinically significant reduction in swelling, color changes, allodynia, and temperature asymmetry.CONCLUSION:
Recalcitrant CRPS type 1 is a challenging life-altering condition that results in a cyclical triad of chronic pain, disability, and impaired psychosocial health. The profound and prolonged analgesic response to CESPB, highlights the clinical utility of this technique, and warrants more clinical investigation.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Distrofia Simpática Refleja
/
Bloqueo Nervioso
Tipo de estudio:
Diagnostic_studies
/
Guideline
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Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Reg Anesth Pain Med
Asunto de la revista:
ANESTESIOLOGIA
/
NEUROLOGIA
/
PSICOFISIOLOGIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
Canadá