| The Effect of Intravenous Regional Block with Ropivacaine, Ketamine and Clonidine on Complex Reginal Pain Syndrome Type I: A case report. |
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Ho Kyung Song, Jin Young Lee, Sung Woo Jung |
1Department of Anesthesioloy, College of Medicine, The Catholic University of Korea, Seoul, Korea. song@olmh.cuk.ac.kr
2Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Korea. |
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| Abstract |
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There is no treatment either to prevent the development of complex regional pain syndromes (CRPS), or to adequately and specifically control established pain. Symptom-based analysis of pain is important for disease progress assessments and treatment outcomes. An intravenous regional block (IVRB) with local anesthetics can contribute to the management of CRPS. We observed that by the IVRB using ropivacaine, ketamine and clonidine, the patient with CRPS type I who was resistant to sympathetic ganglion block and medical treatment with gabapentin, carbamazepine and antidepressant, was relieved of neuropathic pain. |
| Key Words:
Complex regional pain syndrome (CRPS); intravenous regional block; ropivacaine |
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