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Perioperative Pain Management in the Patient with Complex Regional Pain Syndrome -A case report-  

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)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 218-222 More about this Journal
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
complex regional pain syndrome; patient-controlled epidural analgesia; perioperative management; preemptive analgesia;
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