Abstract

FUENTES-MERLOS, Álvaro; LINAN-BODI, Dionís; PALACIOS-FORT, Rosa  and  LOPEZ-BAS VALERO, Rafael. Multimodal epidural analgesia in acute arterial ischemia. Hosp. domic. [online]. 2021, vol.5, n.3, pp.161-166.  Epub Sep 13, 2021. ISSN 2530-5115.  https://dx.doi.org/10.22585/hospdomic.v5i3.132.

Acute arterial ischemia (AAI) is a syndrome caused by the sudden interruption of the blood supply to a certain territory of the body, as a result of the sudden obstruction of the artery that supplies it. It can be accompanied by severe pain that does not respond to conventional analgesia. Multimodal epidural analgesia is the administration of a local anesthetic with an opioid into the epidural space to keep the individual pain free. The use of a multimodal technique reduces the incidence and severity of physiological disorders caused by acute pain. We present a case of a patient admitted to the Home Hospitalization Unit for evolutionary control and pain management due to an AAI in the left upper limb. After intervention, a multimodal epidural analgesia with fentanyl and bupivacaine was performed with complete improvement of the same and without clinical incidences.

Keywords : Brachial Artery; Ischemia; Pain; Analgesia, Epidural; Home Care Services.

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