Ischaemic pain in Buerger's disease. Report of a female patient receiving long-term local analgesia.
A female patient with Buerger's disease developed severe ischaemic pain in her left index finger which was refractory to several therapeutic measures. A silastic catheter inserted in the region of the median nerve at the elbow was topped up intermittently with local anaesthetic for 6 weeks and effected excellent analgesia. The catheter was removed when the pain had abated, and the finger tip later amputated.
Saddler
J M
JM
Department of Anaesthetics, Southampton General Hospital.
Crosse
M M
MM
D000328:Adult; D005260:Female; D005385:Fingers / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000503:physiopathology*; D008475:Median Nerve; D009407:Nerve Block; D010166:Palliative Care / Q000379:methods*; D013919:Thromboangiitis Obliterans / Q000150:complications / Q000503:physiopathology*; D013997:Time Factors