The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Perioperative Pain Management in the Patient with Complex Regional Pain Syndrome -A case report-

복합부위통증증후군 환자의 이환 부위 수술 전후의 통증관리 -증례보고-

  • Jo, Ji Yon (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Mi Geum (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Hyo Min (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Choi, Yun Suk (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Yun, Hey Jeong (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Chul Joong (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Kim, Yong Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 조지연 (서울대학교 의과대학 마취통증의학교실) ;
  • 이미금 (서울대학교 의과대학 마취통증의학교실) ;
  • 이효민 (서울대학교 의과대학 마취통증의학교실) ;
  • 최윤숙 (서울대학교 의과대학 마취통증의학교실) ;
  • 윤혜정 (서울대학교 의과대학 마취통증의학교실) ;
  • 이철중 (서울대학교 의과대학 마취통증의학교실) ;
  • 이상철 (서울대학교 의과대학 마취통증의학교실) ;
  • 김용철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2006.09.29
  • Accepted : 2006.12.05
  • Published : 2006.12.30
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Abstract

Complex regional pain syndrome (CRPS) is a syndrome of pain and sudomotor or vasomotor instabilities. The perioperative pain management in CRPS patients is very important, as surgery can aggravate preexisting symptoms, especially when performed around the lesion site. Despite the increasing interest in CRPS research, little is known about the optimal perioperative treatment strategy for CRPS patients. Herein, the case of a female CRPS patient, who underwent elective surgery at the lesion site, is reported. As a preemptive analgesia, the patient was satisfactorily managed with two weeks of patient-controlled epidural analgesia, initiated 2 days prior to surgery. The techniques for the prevention of perioperative pain, including preemptive analgesia, as well as its importance, are discussed.

Keywords

References

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