Effective Pain Management After Total Hip Arthroplasty in a Sickle Cell Patient Emphasizing Dexamethasone Sodium Phosphate/Methylprednisolone Acetate Administered via a Peripheral Nerve Blockade: A Case Report.
A A Pract
; 12(5): 171-175, 2019 Mar 01.
Article
in En
| MEDLINE
| ID: mdl-30153113
ABSTRACT
Pain control after total hip arthroplasty in sickle cell patients is challenging yet essential to prevent sickle cell crises or protracted hospital stays. We present a case of effective analgesia that lasted for weeks in a young opioid-tolerant female. This was achieved by the administration of glucocorticoids with different durations of action, dexamethasone sodium phosphate/methylprednisolone acetate, via a femoral/lateral femoral cutaneous nerve block placed preoperatively. Postoperatively, the patient's opioid demand was unchanged from her preoperative baseline. She met all the discharge requirements, including physical therapy targets, on postoperative day 2 and did not have any complications during the hospitalization.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Autonomic Nerve Block
/
Dexamethasone
/
Arthroplasty, Replacement, Hip
/
Pain Management
/
Methylprednisolone Acetate
/
Anemia, Sickle Cell
/
Anti-Inflammatory Agents
Type of study:
Diagnostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
A A Pract
Year:
2019
Document type:
Article