Intravenous Remifentanil Analgaesia for an Obstetric Patient with Type I Neurofibromatosis and a Factor V Leiden Mutation.

Type I neurofibromatosis is characterised by altered skin pigmentation and the growth of benign tumours, particularly along the peripheral nerves and central nervous system. We report a 36-year-old woman in labour who was admitted to the obstetric suite of the Hospital Sant Joan de Déu, Barcelona, Spain, in 2007 with hypothyroidism, type I neurofibromatosis and a factor V Leiden mutation. Due to a lack of cranial and spinal imaging data, an epidural was not indicated; instead, continuous intravenous remifentanil analgaesia was administered.

Ultrasound-guided sciatic nerve pulsed radiofrequency for chronic knee pain treatment: a novel approach.

Chronic knee pain management with current nonpharmacological or pharmacological measures often has suboptimal results and significant side effects. Sciatic nerve pulsed radiofrequency (SNPRF) is an unexplored alternative for chronic knee pain management. We show a prospective short series of chronic knee pain patients managed with ultrasound-guided SNPRF.