Continuous Brachial Plexus Analgesia and Complex Regional Pain Syndrome (CRPS) Management

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Continuous Brachial Plexus Analgesia and Complex Regional Pain Syndrome (CRPS) Management

The implantation of the spinal catheter into the brachial plexus shows a significant analgesic effect among patients with CRPS but only until the approach is in process, findings from a latest study published in Handchir Mikrochir plast ChirJournal.

Andrzej Zyluk and Piotr Puchalski conducted this analysis to evaluate the effects of bupivacaine in reducing pain among 10 female CRPS patients by continuous brachial plexus analgesia.  The average term of the disease was 3.5 years before therapy. The mean baseline numeric analogue scale (NRS) for pain was found to be 8.3.  The budapest criteria were used to diagnose CRPS. The open axillary method was used to introduce the spinal catheter into the brachial plexus.

A total of 4.4 (mean) spinal catheter implants range from 2 - 8 were given to each of the patients. After an immediate introduction of bupivacaine injection, a fast and significant reduction in pain was noticed. The NRS score decreased from 8.3 to 1.6. 

The relief from pain was till the time patients were undergoing the treatment (5.3 months). Once the treatment was completed, the pain returned to the baseline pain score.  No permanent pain relief was seen during the whole analysis which signfies that continuous brachial plexus analgesia is beneficial only in the implementation period.

Source

Handchir Mikrochir plast Chir          

Link:

https://www.thieme-connect.com/DOI/DOI?10.1055/a-0641-5762

The original title of article:

Pain control in chronic, refractory CRPS by continuous brachial plexus analgesia

Authors:

Andrzej Zyluk and Piotr Puchalski

SearchTags: 
Therapeutic, Bupivacaine, Pain, Local Anesthesia, Efficacy
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