Continuous peripheral nerve block for in-patients with lower limb ischemic pain

OBJECTIVES: Demonstrate that continuous peripheral nerve block (CPNB) may be an alternative with adequate analgesia and a lower incidence of side effects for ischemic pain due peripheral obstructive arterial disease (POAD). METHODS: Retrospective cohort study with 21 patients with POAD, Fontaine IV...

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Detalles Bibliográficos
Autores: Fernandes, Hermann dos Santos, Ximenes, Jorge Luiz Saraiva, Taguchi, Paloma Kiyomi, Espada, Eloisa Bonetti, Gouvêa, Áquila Lopes, Vieira, Joaquim Edson, Ashmawi, Hazem Adel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Clinics
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/212800
Acceso en línea:https://www.revistas.usp.br/clinics/article/view/212800
Access Level:acceso abierto
Palabra clave:Peripheral Arterial Disease
Peripheral Vascular Disease
Regional Anesthesia
Continuous Peripheral Nerve Block
Nerve Block
Analgesia
Pain Management
Descripción
Sumario:OBJECTIVES: Demonstrate that continuous peripheral nerve block (CPNB) may be an alternative with adequate analgesia and a lower incidence of side effects for ischemic pain due peripheral obstructive arterial disease (POAD). METHODS: Retrospective cohort study with 21 patients with POAD, Fontaine IV graded, with foot pain. Patients were submitted to continuous sciatic nerve block (CSNB), through a perineural catheter. Primary outcomes were pain intensity (by numerical rating scale) and opioid consumption (in oral morphine equivalents). RESULTS: During CSNB, pain scores markedly decreased in comparison to the pre-block period. CONCLUSIONS: CPNB may be a good option for ischemic pain treatment in in-patients, as it provides effective pain control with fewer adverse effects.