Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report

SUMMARY: A 47-yrs-female patient presented with carcinoma right breast, swelling and allodynia of right upper limb. radical mastectomy with axillary clearance and skin grafting was done under cervical epidural anaesthesia through 18G epidural catheter placed at C6/C7 level. Postoperative analgesia a...

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Autores principales: Jadon, Ashok, Agarwal, Prashant S
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2900082/
https://www.ncbi.nlm.nih.gov/pubmed/20640100
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author Jadon, Ashok
Agarwal, Prashant S
author_facet Jadon, Ashok
Agarwal, Prashant S
author_sort Jadon, Ashok
collection PubMed
description SUMMARY: A 47-yrs-female patient presented with carcinoma right breast, swelling and allodynia of right upper limb. radical mastectomy with axillary clearance and skin grafting was done under cervical epidural anaesthesia through 18G epidural catheter placed at C6/C7 level. Postoperative analgesia and rehabilitation of affected right upper limb was managed by continuous epidural infusion of 0.125% bupivacaine and 2.5 µg/ml(−1)clonidine solution through epidural catheter for 5 days and physiotherapy. This case report highlights the usefulness of cervical epidural analgesia in managing a complex situation of carcinoma breast with associated periarthitis of shoulder joint and chronic regional pain syndrome (CRPS) of right upper limb.
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spelling pubmed-29000822010-07-16 Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report Jadon, Ashok Agarwal, Prashant S Indian J Anaesth Case Report SUMMARY: A 47-yrs-female patient presented with carcinoma right breast, swelling and allodynia of right upper limb. radical mastectomy with axillary clearance and skin grafting was done under cervical epidural anaesthesia through 18G epidural catheter placed at C6/C7 level. Postoperative analgesia and rehabilitation of affected right upper limb was managed by continuous epidural infusion of 0.125% bupivacaine and 2.5 µg/ml(−1)clonidine solution through epidural catheter for 5 days and physiotherapy. This case report highlights the usefulness of cervical epidural analgesia in managing a complex situation of carcinoma breast with associated periarthitis of shoulder joint and chronic regional pain syndrome (CRPS) of right upper limb. Medknow Publications 2009-12 /pmc/articles/PMC2900082/ /pubmed/20640100 Text en © Indian Journal of Anaesthesia http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jadon, Ashok
Agarwal, Prashant S
Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report
title Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report
title_full Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report
title_fullStr Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report
title_full_unstemmed Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report
title_short Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of upper limb-A Case Report
title_sort cervical epidural anaesthesia for radical mastectomy and chronic regional pain syndrome of upper limb-a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2900082/
https://www.ncbi.nlm.nih.gov/pubmed/20640100
work_keys_str_mv AT jadonashok cervicalepiduralanaesthesiaforradicalmastectomyandchronicregionalpainsyndromeofupperlimbacasereport
AT agarwalprashants cervicalepiduralanaesthesiaforradicalmastectomyandchronicregionalpainsyndromeofupperlimbacasereport

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