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

• Autor(a) principal: Fernandes, Hermann dos Santos
• Data de Publicação: 2021
• Outros Autores: Ximenes, Jorge Luiz Saraiva, Taguchi, Paloma Kiyomi, Espada, Eloisa Bonetti, Gouvêa, Áquila Lopes, Vieira, Joaquim Edson, Ashmawi, Hazem Adel
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Clinics
• Texto Completo: https://www.revistas.usp.br/clinics/article/view/212800
• topic: Peripheral Arterial Disease; Peripheral Vascular Disease; Regional Anesthesia; Continuous Peripheral Nerve Block; Nerve Block; Analgesia; Pain Management

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.