1/4. pain management by contralateral local anaesthesia.Contralateral local anaesthesia is presented as a possible means of pain management in the form of case studies. Results in the treatment of phantom-limb pains was particularly favourable. The efficacy of contralateral local anaesthesia was also shown in acute postoperative pain states.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/4. phantom limb pain during spinal anaesthesia. recurrence in amputees.phantom limb pain following amputation is a well known but comparatively rare phenomenon. Spinal anaesthesia in amputees may cause reappearance of phantom pain in previously pain-free patients despite complete sensory analgesia. Two such cases are described.- - - - - - - - - - ranking = 0.83333333333333keywords = anaesthesia (Clic here for more details about this article) |
3/4. phantom limb pain during peridural anaesthesia.Report the occurrence of severe phantom leg pain during peridural anaesthesia. The patient had no preoperative pain complaints or neurological deficits and was scheduled for surgical removal of an osteosynthesis plate from his otherwise intact femur. The pain developed parallel with the appearance of phantom sensation during peridural anaesthesia. It was independent of surgical stimulation and vanished towards the end of the operation. phantom limb pain disappeared completely with dissipation of regional blockade. Some of the possible mechanisms of painless and painful phantoms are discussed. We suggest that investigation of similar cases may help in elucidating phantom limb pain following irreversible pathological deafferentation.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
4/4. Regional anaesthesia for repeat Caesarean section in a patient with phantom limb pain.The triggering of phantom limb pain by subarachnoid or epidural anaesthesia has been well described leading to the suggestion that neuraxial regional anaesthesia is relatively contraindicated in lower limb amputees. We report our experience of the provision of anaesthesia for repeat Caesarean section on two occasions in such a patient. Intrathecal fentanyl and morphine supplementation of bupivacaine successfully abolished peri-operative phantom limb pain, whereas epidural anaesthesia was associated with recurrence of phantom limb pain upon regression of the block.- - - - - - - - - - ranking = 1.3333333333333keywords = anaesthesia (Clic here for more details about this article) |