Korean J Anesthesiol.  2002 Dec;43(6):810-814. 10.4097/kjae.2002.43.6.810.

The Effect of Intravenous Regional Block with Ropivacaine, Ketamine and Clonidine on Complex Reginal Pain Syndrome Type I: A case report

Affiliations
  • 1Department of Anesthesioloy, College of Medicine, The Catholic University of Korea, Seoul, Korea. song@olmh.cuk.ac.kr
  • 2Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

There is no treatment either to prevent the development of complex regional pain syndromes (CRPS), or to adequately and specifically control established pain. Symptom-based analysis of pain is important for disease progress assessments and treatment outcomes. An intravenous regional block (IVRB) with local anesthetics can contribute to the management of CRPS. We observed that by the IVRB using ropivacaine, ketamine and clonidine, the patient with CRPS type I who was resistant to sympathetic ganglion block and medical treatment with gabapentin, carbamazepine and antidepressant, was relieved of neuropathic pain.

Keyword

Complex regional pain syndrome (CRPS); intravenous regional block; ropivacaine

MeSH Terms

Anesthetics, Local
Carbamazepine
Clonidine*
Complex Regional Pain Syndromes
Ganglia, Sympathetic
Humans
Ketamine*
Neuralgia
Anesthetics, Local
Carbamazepine
Clonidine
Ketamine
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