Abstract

CORTINAS, M. et al. Traumatic brachial plexus root avulsion unresponsive to remifentanyl role cervical epidural analgesia. Rev. Soc. Esp. Dolor [online]. 2007, vol.14, n.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).

Keywords : Brachial plexus neuropathies; Neuropathic pain; Analgesia, epidural; Remifentanil; Ropivacaine.

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