Revista de la Sociedad Española del Dolor
ISSN 1134-8046
CORTINAS, M. et al. Traumatic brachial plexus root avulsion unresponsive to remifentanyl role cervical epidural analgesia. []. , 14, 3, pp.194-196. ISSN 1134-8046.
We presented you a patient who suffered a left brachial plexus avulsión with hard neuropatic pain in the posttraumatic acute phase (visual analogue scale 8). High-dose remifentanil infusión was uneffective in controlling pain, which was further ameliorated by ropivacaine infused through a cervical (C5-6) epidural catheter. At discharge pain remained controlled (visual analogue scale 2) with specific treatment against neuropathic pain (gabapentin, amytriptiline, clonacepam, and tramadol).
: Brachial plexus neuropathies; Neuropathic pain; Analgesia, epidural; Remifentanil; Ropivacaine.