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- Jonathan Cheah, Edward Yap, and Ramana Naidu.
- From the Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
- A A Case Rep. 2014 Aug 1;3(3):35-7.
AbstractPersistent postsurgical pain after amputation is common and has a number of proposed risk factors. We describe the management of a patient with persistent pain after a below-the-knee amputation. We used a combination of general, peripheral, and neuraxial anesthesia techniques to control postoperative phantom limb and stump pain in a patient at high risk for developing chronic pain. With preemptive management and mechanism-directed therapies, adequate preoperative and postoperative pain control were achieved in attempts to reduce the risk of chronic phantom limb pain.
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