[Analgesia of the axilla using a paravertebral catheter in the lamina technique].
A 62-year-old female suffered from therapy-resistant pain in the axilla after lymphadenectomy. The pain ranged from 8-10 on the numeric rating scale (NRS) despite multimodal pain therapy (non-steroid anti-rheumatics, opioids, physiotherapy, acupuncture). A paravertebral trial injection was performed preoperatively on the laminae of the thoracic vertebrae Th 2-Th 4. As the patient responded well, a paravertebral catheter was inserted close to Th 4 directly before the revision operation took place the following day. The case study describes the possibilities of eliminating pain segmentally in the axilla and an alternative technique to a paravertebral block (lamina technique).
Pfeiffer
G
G
Abteilung für Anästhesie und Schmerztherapie, Triamed Kreisklinik Bad Aibling, Germany. g.pfeiffer@kkh-aibling.de
Oppitz
N
N
Schöne
S
S
Richter-Heine
I
I
Höhne
M
M
Koltermann
C
C
D026881:Acupuncture; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000765:Anesthesia, Conduction; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001365:Axilla; D002404:Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D010147:Pain Measurement / Q000187:drug effects; D010149:Postoperative Pain / Q000188:drug therapy*; D026741:Physical Therapy Modalities; D012086:Reoperation; D013904:Thoracic Vertebrae
D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal