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Type: Journal article
Title: Nerve sheath catheter analgesia for forequarter amputation in paediatric oncology patients
Author: Kaddoum, R.
Burgoyne, L.
Pereiras, L.
Germain, M.
Neel, M.
Anghelescu, D.
Citation: Anaesthesia and Intensive Care, 2013; 41(5):671-677
Publisher: Australian Society of Anaesthetists
Issue Date: 2013
ISSN: 0310-057X
Statement of
R. N. Kaddoum, L. L. Burgoyne, L. A. Pereiras, M. Germain, M. Neel, D. L. Anghelescu
Abstract: In a single centre over two years, four children (7 to 10 years old) with upper limb osteosarcoma underwent chemotherapy followed by forequarter amputation. All patients had preoperative pain and were treated with gabapentin. Nerve sheath catheters were placed in the brachial plexus intraoperatively and left in situ for five to 14 days. After surgery, all patients received local anaesthetic infused via nerve sheath catheters as part of a multimodal analgesia technique. Three of the four patients were successfully treated as outpatients with the nerve sheath catheters in situ. All four children experienced phantom limb pain; however, it did not persist beyond four weeks in any patient.
Keywords: local anaesthetic; nerve sheath catheter block; phantom limb pain; multimodal analgesia forequarter amputation; osteosarcoma
Rights: © Australian Society of Anaesthetists
RMID: 0030025047
DOI: 10.1177/0310057X1304100513
Appears in Collections:Anaesthesia and Intensive Care publications

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