Perioperative Pain Management in the Patient with Complex Regional Pain Syndrome: A case report.
10.3344/kjp.2006.19.2.218
- Author:
Ji Yon JO
1
;
Mi Geum LEE
;
Hyo Min LEE
;
Yun Suk CHOI
;
Hey Jeong YUN
;
Chul Joong LEE
;
Sang Chul LEE
;
Yong Chul KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. pain@snu.ac.kr
- Publication Type:Case Report
- Keywords:
complex regional pain syndrome;
patient-controlled epidural analgesia;
perioperative management;
preemptive analgesia
- MeSH:
Analgesia;
Analgesia, Epidural;
Female;
Humans;
Pain Management*
- From:The Korean Journal of Pain
2006;19(2):218-222
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Complex regional pain syndrome (CRPS) is a syndrome of pain and sudomotor or vasomotor instabilities. The perioperative pain management in CRPS patients is very important, as surgery can aggravate preexisting symptoms, especially when performed around the lesion site. Despite the increasing interest in CRPS research, little is known about the optimal perioperative treatment strategy for CRPS patients. Herein, the case of a female CRPS patient, who underwent elective surgery at the lesion site, is reported. As a preemptive analgesia, the patient was satisfactorily managed with two weeks of patient-controlled epidural analgesia, initiated 2 days prior to surgery. The techniques for the prevention of perioperative pain, including preemptive analgesia, as well as its importance, are discussed.
