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- G Pfeiffer, N Oppitz, S Schöne, I Richter-Heine, M Höhne, and C Koltermann.
- Abteilung für Anästhesie und Schmerztherapie, Triamed Kreisklinik Bad Aibling, Germany. g.pfeiffer@kkh-aibling.de
- Anaesthesist. 2006 Apr 1; 55 (4): 423-7.
AbstractA 62-year-old female suffered from therapy-resistant pain in the axilla after lymphadenectomy. The pain ranged from 8-10 on the numeric rating scale (NRS) despite multimodal pain therapy (non-steroid anti-rheumatics, opioids, physiotherapy, acupuncture). A paravertebral trial injection was performed preoperatively on the laminae of the thoracic vertebrae Th 2-Th 4. As the patient responded well, a paravertebral catheter was inserted close to Th 4 directly before the revision operation took place the following day. The case study describes the possibilities of eliminating pain segmentally in the axilla and an alternative technique to a paravertebral block (lamina technique).
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