Repetitive paravertebral nerve block using a catheter technique for pain relief in post-herpetic neuralgia

被引：25
作者：
Naja, ZM
Maaliki, H
Al-Tannir, MA
El-Rajab, M
Ziade, F
Zeidan, A
机构：
[1] Makassed Gen Hosp, Anaesthesia & Pain Med Dept, Beirut 11072210, Lebanon
[2] Makassed Gen Hosp, Res Unit, Beirut 11072210, Lebanon
[3] Lebanese Univ, Fac Publ Hlth, Beirut, Lebanon
[4] Sahel Gen Hosp, Dept Anaesthesiol, Beirut, Lebanon
来源：
BRITISH JOURNAL OF ANAESTHESIA | 2006年 / 96卷 / 03期
关键词：
anaesthetics local; bupivacaine; complications; post-herpetic neuralgia; paravertebral; equipment; catheter; premedication; clonidine;
D O I：
10.1093/bja/ael007
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We described in this report a case of post-herpetic neuralgia refractory to medical therapy that was successfully treated with repetitive injections of local aesthetic mixture ( bupivacaine 0.5% 19 ml and clonidine 150 mu g ml(-1) 1 ml) every 48 h for 3 weeks using a paravertebral catheter inserted at T2-T3 level.
引用
收藏
页码：381 / 383
页数：3
相关论文
共 27 条
[1]   Intrathecal steroid injection for postherpetic neuralgia: What are the risks? [J].
Abram, SE .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 1999, 24 (04) :283-285
[2]   POSTHERPETIC NEURALGIA - ARE C-NOCICEPTORS INVOLVED IN SIGNALING AND MAINTENANCE OF TACTILE ALLODYNIA [J].
BARON, R ;
SAGUER, M .
BRAIN, 1993, 116 :1477-1496
[3]   Continuous paravertebral catheter and outpatient infusion for breast surgery [J].
Buckenmaier, CC ;
Klein, SM ;
Nielsen, KC ;
Steele, SM .
ANESTHESIA AND ANALGESIA, 2003, 97 (03) :715-717
[4]  
BUCKENMAIER CC, 2004, ANESTH ANALG, V98, P101
[5]   Risk factors for postherpetic neuralgia [J].
Choo, PW ;
Galil, K ;
Donahue, JG ;
Walker, AM ;
Spiegelman, D ;
Platt, R .
ARCHIVES OF INTERNAL MEDICINE, 1997, 157 (11) :1217-1224
[6]   POSTOPERATIVE PARAVERTEBRAL BLOCKS FOR THORACIC-SURGERY - A RADIOLOGICAL APPRAISAL [J].
CONACHER, ID ;
KOKRI, M .
BRITISH JOURNAL OF ANAESTHESIA, 1987, 59 (02) :155-161
[7]   The management of post-herpetic neuralgia - If early treatment fails, patients should be referred to pain clinics [J].
Cunningham, AL ;
Dworkin, RH .
BRITISH MEDICAL JOURNAL, 2000, 321 (7264) :778-779
[8]   Postherpetic neuralgia: Irritable nociceptors and deafferentation [J].
Fields, HL ;
Rowbotham, M ;
Baron, R .
NEUROBIOLOGY OF DISEASE, 1998, 5 (04) :209-227
[9]   Allodynia and pinprick hypesthesia in acute herpes zoster, and the development of postherpetic neuralgia [J].
Haanpää, M ;
Laippala, P ;
Nurmikko, T .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2000, 20 (01) :50-58
[10]  
Johnson Robert W, 2003, Herpes, V10, P38
123