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

Hermann dos Santos Fernandes | Zendy; Jorge Luiz Saraiva Ximenes | Zendy; Paloma Kiyomi Taguchi | Zendy; Eloísa Bonetti Espada | Zendy; Áquila Lopes Gouvêa | Zendy; Joaquim Edson Vieira | Zendy; Hazem Adel Ashmawi | Zendy

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

Author(s) -

Hermann dos Santos Fernandes,

Jorge Luiz Saraiva Ximenes,

Paloma Kiyomi Taguchi,

Eloísa Bonetti Espada,

Áquila Lopes Gouvêa,

Joaquim Edson Vieira,

Hazem Adel Ashmawi

Publication year - 2021

Publication title -

clinics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.618

H-Index - 61

eISSN - 1980-5322

pISSN - 1807-5932

DOI - 10.6061/clinics/2021/e2805

Subject(s) - medicine , peripheral , anesthesia , opioid , nerve block , catheter , retrospective cohort study , surgery , receptor

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.

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