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- Yumna Haroon-Mowahed and Alexander Sell.
- From the Royal National Orthopaedic Hospital, United Kingdom.
- A A Pract. 2021 Jan 19; 15 (1): e01374.
AbstractPerioperative pain management in patients undergoing major surgery with restrictive lung disease can be a challenge. Facioscapulohumeral muscular dystrophy, a rare genetic disorder, causes progressive proximal weakness resulting in chronic pain. We describe a patient undergoing elective scapulothoracic fusion to improve chronic pain. We demonstrated the use of 2 continuous regional catheters for perioperative analgesia to reduce opioid consumption. We used interscalene brachial plexus and erector spinae plane block with catheter insertion using continuous local anesthetic infusion. The aim was to reduce potential respiratory complications in a patient with severe restrictive lung disease and reduce hospital stay.Copyright © 2021 International Anesthesia Research Society.
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