Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Continuous peripheral nerve block for upper limb ischemic pain: a case report

Hermann dos Santos Fernandes, Pedro E.P. Lima Filho, Áquila L. Gouvêa, Eloisa B. Espada

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Peripheral Arterial Obstructive Disease (PAOD) may course with severe ischemic pain. In low-income health systems, patients may wait for vascular surgery. Continuous peripheral nerve block may be an effective alternative, with fewer side effects, in this scenario. A female patient with acute arterial obstruction of upper limb evolving with severe ischemic pain. She was submitted to a continuous infraclavicular brachial plexus block, which led to a satisfying pain control until the amputation surgery. The early postoperative period evolved with good pain management. This approach may be effective and safe as an analgesia option for ischemic pain.


Phantom limb;  Peripheral arterial disease;  Chronic pain;  Regional anesthesia
602687960e88258e5b4de1cf rba Articles
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Braz J Anesthesiol

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