This paper investigates and discusses the effect of perioperative plexus catheter treatment in former CRPS patients. A retrospective matched-pair analysis was conducted on 10 CRPS patients with comparable injuries, who underwent surgery in the disease-free interval. In 10 cases, the procedure was performed with perioperative plexus catheter treatment (intervention group), whereas 10 patients did not receive perioperative plexus catheter treatment (control group). In the intervention group, after a follow-up time of 105 (20-184) days after the last surgical procedure, pain intensity on the visual analogue scale (VAS; 0 to 10) was 6.4 (4-8), fingertip-to-palm distance averaged 3.2 (0-7.6) cm, active range of wrist motion was 47.5 (0-95), and grip strength was 9.2 (2.1-16.6) kg. In the control group, after a follow-up time of 129 (19-410) days since the last surgical procedure, pain intensity on the visual analogue scale was 6 (3-10), fingertip-to-palm distance averaged 2.7 (0-4.5) cm, active range of wrist-motion was 64 (0-125), and grip strength was 12.4 (0.8-23.8) kg. There was no significant difference between the groups. There was no recurrence of CRPS disease in either group after surgery. There is no evidence so far for perioperative plexus catheter treatment to prevent recurrence in former CRPS patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1055/s-0043-115390 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Risk profiles of common brachial plexus block sites: results from the net-ra registry.
Reg Anesth Pain Med
December 2024
Department of Anaesthesiology, Intensive Care and Pain Therapy, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany.
Introduction: Regional anesthesia is frequently used for upper limb surgeries and postoperative pain control. Different approaches to brachial plexus blocks are similarly effective but may differ in the frequency and severity of iatrogenesis. We, therefore, examined large-scale registry data to explore the risks of typical complications among different brachial plexus block sites for regional anesthesia.
View Article and Find Full Text PDFPostoperative urinary retention after oblique lumbar interbody fusion under the systematic management protocol.
Sci Rep
December 2024
Department of Neurosurgery, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Oblique lumbar interbody fusion (OLIF) is a minimally invasive lateral lumbar fusion technique and patients are discharged 1-2 days after surgery. Because OLIF utilizes a retroperitoneal approach close to the superior hypogastric plexus, postoperative urinary retention (POUR) may not be an uncommon problem. The purpose of this study was to present the incidence and outcomes of POUR with a systematic care protocol.
View Article and Find Full Text PDFIntractable pain due to thoracic outlet syndrome successfully treated with percutaneous epidural adhesiolysis: A case report.
SAGE Open Med Case Rep
November 2024
Department of Anesthesiology, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.
Thoracic outlet syndrome (TOS) is characterized by intractable cervicobrachial pain caused by strangulation of the brachial plexus and subclavian artery by structures of the superior thoracic outlet. We describe percutaneous epidural adhesiolysis for refractory pain due to TOS. A man in his 40s had received nerve block therapy for right upper extremity pain of unknown origin for 5 years.
View Article and Find Full Text PDFPost-procedural Brachial Neuritis: Clinical, Electrodiagnostic and Neuroimaging features.
AJNR Am J Neuroradiol
November 2024
From the School of Medicine (V.S.A), Department of Neurology (N.M., N.A., A.N.P, B.R.B, R.P.K), Department of Neurological Surgery (V.S.A., P.V.M), and Department of Radiology and Biomedical Imaging (V.N.S), Neuroradiology Section, University of California, San Francisco, San Francisco, California, USA.
Background And Purpose: Brachial neuritis is a monophasic condition affecting the brachial plexus and its branches, manifesting as acute shoulder and upper arm pain, followed by weakness and paresthesias. It can be triggered by antecedent events, including procedures such as surgery. Misdiagnosis and delay in diagnosis is common.
View Article and Find Full Text PDFLong-Term Differences in Autonomic Alterations After Cryoballoon vs Radiofrequency Atrial Fibrillation Ablation.
JACC Clin Electrophysiol
October 2024
Montreal Heart Institute, Department of Medicine, Université de Montréal, Montreal, Quebec, Canada.
Background: The long-term natural history of autonomic alterations following catheter ablation of drug-refractory paroxysmal atrial fibrillation is poorly defined.
Objectives: The authors sought to define the long-term impact of thermal catheter ablation on the cardiac autonomic system.
Methods: The study included 346 patients with drug-refractory paroxysmal atrial fibrillation undergoing pulmonary vein isolation using thermal ablation energy (radiofrequency or cryoballoon ablation).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!