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- Rakesh V Sondekoppam, Vivian Ip, and TsuiBan C HBCHDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California..
- From the Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
- A A Pract. 2021 Jun 8; 15 (6): e01487.
AbstractPain following amputation is often poorly controlled despite the use of nerve blocks. We describe a novel pain management approach in a 56-year-old woman with episodes of poorly controlled pain following below-knee amputation despite a multimodal analgesic regimen with continuous sciatic nerve block. Effective analgesia was observed during those episodes when the nerve block catheter was briefly stimulated at low frequency using a nerve stimulator designed for regional anesthesia procedural guidance. This case report explains the utilization and rationale of this hybrid technique of combined peripheral nerve stimulation and locoregional analgesia via perineural nerve block catheters to augment analgesia.Copyright © 2021 International Anesthesia Research Society.
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