Bloqueo continuo del nervio ciático por abordaje longitudinal para manejo del dolor isquémico de miembro: Serie de casos

ABSTRACT: Background: Ischemic limb pain (ILP) associated with peripheral vascular disease is severe and causes significant morbidity. Axonal blocks with local anesthetics have an excellent analgesic effect and decrease adverse effects associated with opioid monotherapy. We aim to assess the analgesia of an ultrasound-guided continuous sciatic nerve block to treat ILP. Methods: Fourteen patients from our Acute/Chronic Pain Service: adults with ILP who underwent CSNB by Ilfeld´s technique. Prospective data collection: sensory block, pain level, adverse effects, opioid consumption, complications, and satisfaction. Results: We observed a successful blockage with clinically important reduction of pain level from severe to absent or mild in all patients. Mean of 4.4 days. Morphine milligram equivalent (MME) and opioid-related adverse effects were reduced. Catheter migration occurred in 7.1 % of the patients. There were no adverse effects associated with the technique. Discussion and Conclusions: In this case series of ILP managed with Ilfeld´s technique, an ultrasound guided CSNB provides a high rate of analgesic efficacy, reduce adverse effects associated with opioid consumption and was easily performed with a duration longer than the axial approach previously described.

• Autores: Santana Vélez, Carolina
• Tipo de recurso: Tesis
• Fecha de publicación: 2022
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: spa
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/29650
• Acceso en línea: https://hdl.handle.net/10495/29650
• Palabra clave: Nervio ciático; Sciatic nerve; Isquemia; Ischemia; Anestesia local; Anesthesia, local; Analgésicos opioides; Analgesics, opioid; Manejo del dolor; Pain management; Enfermedades vasculares periféricas; Peripheral vascular diseases; https://id.nlm.nih.gov/mesh/D012584; https://id.nlm.nih.gov/mesh/D007511; https://id.nlm.nih.gov/mesh/D000772; https://id.nlm.nih.gov/mesh/D000701; https://id.nlm.nih.gov/mesh/D059408; https://id.nlm.nih.gov/mesh/D016491
• Rights: openAccess
• License: https://creativecommons.org/licenses/by-nc-sa/4.0/