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Canadian Journal of Anesthesia 47:903-906 (2000)
© Canadian Anesthesiologists' Society, 2000

Clinical Report

Brachial plexus infusion of ropivacaine with patient-controlled supplementation

Peter H.K. Mak, MB CHB DA FRCA FFARCSI, Siu L. Tsui, MD FANZCA FHKAM, Wing Y. Ip, MB BS FRCS FHKAM DIP. HAND SURG and Michael G. Irwin, MB CHB DA FRCA FHKAM

From the Department of Anesthesiology and Department of Orthopedics, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.

Address correspondence to: Dr. Peter H.K. Mak. Phone: 852-28555791; Fax: 852-28553384; E-mail: makphk{at}hkstar.com

Objectif : Rapporter l'usage d'analgésie continue du plexus brachial pour faciliter la physiothérapie.

Éléments cliniques : Un homme de 34 ans présentait des contractures aux doigts de la main dominante après avoir souffert du syndrome d'écrasement en 1996. Il éprouvait toujours des douleurs sévères et de l'incapacité après avoir subi quelques opérations. Afin de faciliter la physiothérapie active et passive indolore, nous avons réalisé un blocage du plexus brachial axillaire. Nous avons inséré, par le creux axillaire, un cathéter dans le plexus brachial et maintenu l'analgésie pendant une semaine avec une perfusion de 3 ml•hr–1 de ropivacaïne à 0,2 % et la possibilité de bolus complémentaires de 1 ml d'analgésie contrôlée par le patient. La physiothérapie active et passive a eu lieu quotidiennement, toute la semaine.

Conclusion : Cette technique a réussi sans complications majeures et a permis une importante réduction de la douleur ainsi qu'une amélioration notable de la motilité des doigts et de la fonction générale du membre supérieur.




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This Article
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Right arrow Articles by Mak, P. H.K.
Right arrow Articles by Irwin, M. G.
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Right arrow Regional Anesthesia and Pain


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