Korean J Pain.  2006 Dec;19(2):218-222. 10.3344/kjp.2006.19.2.218.

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

• Jo JY
• Lee MG
• Lee HM
• Choi YS
• Yun HJ
• Lee CJ
• Lee SC
• Kim YC

• KMID: 2073933
• DOI: http://doi.org/10.3344/kjp.2006.19.2.218

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.

Keyword

complex regional pain syndrome; patient-controlled epidural analgesia; perioperative management; preemptive analgesia

MeSH Terms

Analgesia
Analgesia, Epidural
Female
Humans
Pain Management*