[Continuous interscalenic nerve block in a 3 year old child after amputation of upper extremity].
Amputations of extremities, especially in the childhood, impose high demands on the perioperative management. Apart from the intraoperative care of these children, the postoperative pain therapy has to do one's utmost in the avoidance of the development of phantom limb pain, which can, especially in the childhood, be associated with far reaching psychological consequences. We report the case of a 3-year old boy who had to undergo exarticualtion of his left arm due to an osteosarcoma of the humerus. The perioperative pain management was performed by a preoperatively placed interscalene catheter and infusion of 0.2 % ropivacaine. Within the first six days postoperatively complete pain relief could be ensured with this analgetic regimen.
Gottschalk
A
A
Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Hamburg Eppendorf. gottschalk@uke.uni-hamburg.de
Rempf
C
C
Freitag
M
M
Lohmann
C
C
Standl
T
T
D000577:Amides; D000671:Amputation, Surgical; D000758:Anesthesia; D000779:Anesthetics, Local; D001132:Arm / Q000601:surgery*; D001859:Bone Neoplasms / Q000601:surgery; D002404:Catheterization; D002675:Child, Preschool; D006801:Humans; D006811:Humerus; D008297:Male; D009407:Nerve Block; D012516:Osteosarcoma / Q000601:surgery; D010149:Postoperative Pain / Q000188:drug therapy; D000077212:Ropivacaine
D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine