title: The use of a continuous brachial plexus catheter to facilitate inpatient rehabilitation in a pediatric patient with refractory upper extremity complex regional pain syndrome.
abstract: BACKGROUND
  The goal of interventional management of refractory pediatric complex regional pain syndrome is to facilitate early restoration of function to the affected extremity. These interventions are more complicated in children, as most do not tolerate these procedures without sedation.
  
  
  METHODS
  We report the first detailed description of a pediatric patient with complex regional pain syndrome refractory to medical management who had complete resolution of symptoms after brief inpatient rehabilitation involving continuous brachial plexus blockade and a multidisciplinary apaproach.
  
  
  CONCLUSIONS
  Repeated interventional therapy for refractory, severe complex regional pain syndrome may not be feasible in children owing to the requirement for deep sedation or general anesthesia. A multidisciplinary apaproach of brief inpatient rehabilitation and continuous blockade via an indwelling pain catheter may provide a safer, more cost-effective means of restoring function in children with advanced disease.
authors.affiliation: Division of Pediatric Anesthesiology, Department of Anesthesiology, Monroe Carell Jr. Children's Hospital at Vanderbilt, 2200 Children's Way, Suite 3115 Nashville, TN 37232, USA. andrew.franklin@vanderbilt.edu
authors.forename: Andrew
authors.initials: A
authors.lastname: Franklin
authors.forename: Thomas
authors.initials: T
authors.lastname: Austin
mesh_terms: D000779:Anesthetics, Local / Q000627:therapeutic use; D001917:Brachial Plexus / Q000601:surgery*; D057785:Catheters; D002648:Child; D020918:Complex Regional Pain Syndromes / Q000628:therapy*; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000379:methods*
chemical_list: D000779:Anesthetics, Local