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http://dx.doi.org/10.3344/kjp.2007.20.2.190

Pain Management via a Subcutaneous Infusion of Ketamine in a Patient with Complex Regional Pain Syndrome - A case report -  

Suh, Jeong Hun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Koo, Mi Suk (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Nahm, Francis Sahngun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Shin, Hwa Yong (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Choi, Yong Min (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Jo, Ji Yon (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.20, no.2, 2007 , pp. 190-194 More about this Journal
Abstract
Complex regional pain syndrome (CRPS), which is a syndrome that is defined by pain and sudomotor and/or vasomotor instability, is usually resistant to conventional treatment. Here, a case involving a 30-year-old male patient with CRPS type I who showed severe intractable right shoulder pain with allodynia and hyperalgesia despite being treated with oral medications, nerve blocks including thoracic sympathetic neurolysis, and spinal cord stimulation is described. The patient frequently visited the emergency room due to severe uncontrollable breakthrough pain. Although a favorable effect was observed in response to intermittent ketamine infusion therapies that were performed on an outpatient basis, acute exacerbation of pain occurred frequently during the night and could not be controlled. Therefore, subcutaneous ketamine infusion therapy using a patient-controlled analgesic system was attempted and found to effectively control acute exacerbation of pain during 6 weeks of infusion without serious complications.
Keywords
complex regional pain syndrome; ketamine; subcutaneous infusion;
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