Development of complex regional pain syndrome at independent arm associated with lateral decubitus position: A case report
Anesthesia and Pain Medicine
;
: 196-199, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-58143
ABSTRACT
A 27-year-old man underwent excision of a mediastinal mass using video-assisted thoracoscopic surgery (VATS) performed in the right lateral position. Postoperatively, he complained of pain in the left upper arm and chest wall, limitation of the left shoulder joint, allodynia, hyperalgesia, spontaneous pain in left finger, edema, hypohidrosis, and change of skin color of the left hand. We diagnosed the patient with complex regional pain syndrome (CRPS) by using the proposed modified International Association of the Study of Pain (IASP) research diagnostic criteria, and initiated treatment through medication and interventional management. After 3 months of treatment, the pain intensity reduced to below 2 cm on the VAS. In this study, we describe a case of postoperative CRPS, which is believed to have been caused by excessive stretching of the brachial plexus. Careful positioning of patients on the operating table with proper padding will reduce injuries to the peripheral nerves.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Nervos Periféricos
/
Braço
/
Articulação do Ombro
/
Pele
/
Plexo Braquial
/
Neuropatias do Plexo Braquial
/
Cirurgia Torácica Vídeoassistida
/
Parede Torácica
/
Edema
/
Mesas Cirúrgicas
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2012
Tipo de documento:
Artigo
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