Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report -
Background A supraclavicular brachial plexus nerve block provides analgesia for the shoulder, arm, and hand; however, the maximum safe duration for a continuous infusion remains controversial. A novel continuous peripheral nerve block (CPNB) technique combining the Lateral, Intermediate, and Medial...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2022-01-01
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| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/apm-21029.pdf |
| _version_ | 1797825402040745984 |
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| author | Eric Ly Sai Velamuri William Hickerson David M. Hill Jay Desai Ban Tsui Michael Herr Jerry Jones |
| author_facet | Eric Ly Sai Velamuri William Hickerson David M. Hill Jay Desai Ban Tsui Michael Herr Jerry Jones |
| author_sort | Eric Ly |
| collection | DOAJ |
| description | Background A supraclavicular brachial plexus nerve block provides analgesia for the shoulder, arm, and hand; however, the maximum safe duration for a continuous infusion remains controversial. A novel continuous peripheral nerve block (CPNB) technique combining the Lateral, Intermediate, and Medial femoral cutaneous nerves (termed the ‘LIM’ block) to provide analgesia to the lateral, anterior, and medial cutaneous areas of the thigh while preserving quadriceps strength will also be described in detail here. Case We present a complex case in which simultaneous utilization of an unilateral supraclavicular CPNB (5 weeks) and bilateral LIM CPNB (5 days) are successfully performed to provide analgesia for a traumatic degloving injury resulting in multiple surgeries. Conclusions The analgesic plan in this case study eliminated previous episodes of opioid-induced delirium, facilitated participation in recovery, and removed concerns for respiratory depression and chronic opioid use in a patient at particular risk for both issues. |
| first_indexed | 2024-03-13T10:53:29Z |
| format | Article |
| id | doaj.art-9380c4606d0649b691f5b0ef1e032420 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-13T10:53:29Z |
| publishDate | 2022-01-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-9380c4606d0649b691f5b0ef1e0324202023-05-17T05:54:19ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772022-01-01171879210.17085/apm.210291086Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report -Eric Ly0Sai Velamuri1William Hickerson2David M. Hill3Jay Desai4Ban Tsui5Michael Herr6Jerry Jones7 College of Medicine, The University of Tennessee Health Science Center, Memphis, TN, USA Department of Plastic Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA Department of Plastic Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA Department of Clinical Pharmacy and Translational Science, The University of Tennessee Health Science Center, Memphis, TN, USA Department of Plastic Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA Department of Anesthesiology, The Stanford University Medical Center, Stanford, CA, USA Department of Anatomy and Neurobiology, The University of Tennessee Health Science Center, Memphis, TN, USA Department of Anesthesiology, The University of Tennessee Health Science Center, Memphis, TN, USABackground A supraclavicular brachial plexus nerve block provides analgesia for the shoulder, arm, and hand; however, the maximum safe duration for a continuous infusion remains controversial. A novel continuous peripheral nerve block (CPNB) technique combining the Lateral, Intermediate, and Medial femoral cutaneous nerves (termed the ‘LIM’ block) to provide analgesia to the lateral, anterior, and medial cutaneous areas of the thigh while preserving quadriceps strength will also be described in detail here. Case We present a complex case in which simultaneous utilization of an unilateral supraclavicular CPNB (5 weeks) and bilateral LIM CPNB (5 days) are successfully performed to provide analgesia for a traumatic degloving injury resulting in multiple surgeries. Conclusions The analgesic plan in this case study eliminated previous episodes of opioid-induced delirium, facilitated participation in recovery, and removed concerns for respiratory depression and chronic opioid use in a patient at particular risk for both issues.http://www.anesth-pain-med.org/upload/pdf/apm-21029.pdfacute pain serviceamputationanalgesiaanesthesialocal anesthesianerve block |
| spellingShingle | Eric Ly Sai Velamuri William Hickerson David M. Hill Jay Desai Ban Tsui Michael Herr Jerry Jones Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report - Anesthesia and Pain Medicine acute pain service amputation analgesia anesthesia local anesthesia nerve block |
| title | Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report - |
| title_full | Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report - |
| title_fullStr | Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report - |
| title_full_unstemmed | Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report - |
| title_short | Approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks - A case report - |
| title_sort | approaching trauma analgesia using prolonged and novel continuous peripheral nerve blocks a case report |
| topic | acute pain service amputation analgesia anesthesia local anesthesia nerve block |
| url | http://www.anesth-pain-med.org/upload/pdf/apm-21029.pdf |
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