title: Attempting to prevent persistent postamputation phantom limb and stump pain.
abstract: Persistent postsurgical pain after amputation is common and has a number of proposed risk factors. We describe the management of a patient with persistent pain after a below-the-knee amputation. We used a combination of general, peripheral, and neuraxial anesthesia techniques to control postoperative phantom limb and stump pain in a patient at high risk for developing chronic pain. With preemptive management and mechanism-directed therapies, adequate preoperative and postoperative pain control were achieved in attempts to reduce the risk of chronic phantom limb pain.
authors.affiliation: From the Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Cheah
authors.forename: Edward
authors.initials: E
authors.lastname: Yap
authors.forename: Ramana
authors.initials: R
authors.lastname: Naidu