Continuous peripheral nerve block for upper limb ischemic pain: a case report.

Braz J Anesthesiol

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Anestesia, São Paulo, SP, Brazil.

Published: October 2021

Peripheral Arterial Obstructive Disease (PAOD) may course with severe ischemic pain. In low-income health systems, patients may wait for vascular surgery. Continuous peripheral nerve block may be an effective alternative, with fewer side effects, in this scenario. A female patient with acute arterial obstruction of upper limb evolving with severe ischemic pain. She was submitted to a continuous infraclavicular brachial plexus block, which led to a satisfying pain control until the amputation surgery. The early postoperative period evolved with good pain management. This approach may be effective and safe as an analgesia option for ischemic pain.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373551PMC
http://dx.doi.org/10.1016/j.bjane.2021.02.013DOI Listing

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