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Continuous peripheral nerve block for in-patients with lower limb ischemic pain

OBJECTIVES:

Demonstrate that continuous peripheral nerve block (CPNB) may be an alternative with adequate analgesia and a lower incidence of side effects for ischemic pain due peripheral obstructive arterial disease (POAD).

METHODS:

Retrospective cohort study with 21 patients with POAD, Fontaine IV graded, with foot pain. Patients were submitted to continuous sciatic nerve block (CSNB), through a perineural catheter. Primary outcomes were pain intensity (by numerical rating scale) and opioid consumption (in oral morphine equivalents).

RESULTS:

During CSNB, pain scores markedly decreased in comparison to the pre-block period.

CONCLUSIONS:

CPNB may be a good option for ischemic pain treatment in in-patients, as it provides effective pain control with fewer adverse effects.

Peripheral Arterial Disease; Peripheral Vascular Disease; Regional Anesthesia; Continuous Peripheral Nerve Block; Nerve Block; Analgesia; Pain Management


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