[Analgesia for wound dressing by continuous peripheral nerve block].

Analgésie par blocs nerveux périphériques continus dans le cadre des soins de plaies cutanées.

Publisher: Hopital De Baviere Country of Publication: Belgium NLM ID: 0404317 Publication Model: Print Cited Medium: Print ISSN: 0370-629X (Print) Linking ISSN: 0370629X NLM ISO Abbreviation: Rev Med Liege Subsets: MEDLINE

Publication: Liege : Hopital De Baviere
Original Publication: Liège.

Bandages* ; Nerve Block*; Pain/*prevention & control ; Varicose Ulcer/*therapy; Aged ; Female ; Humans ; Pain/etiology ; Skin Care

We present the case of a patient with a circumferential venous ulcer at the level of the calf. She is hospitalized for surgical treatment by continuous aspiration dressing and coverage with skin graft. This patient presents a history of chronic pain, on which classical medications have few effects and are accompanied by side effects. After discussion with the patient, a double continuous peripheral nervous block (femoral and sciatic nerve) is set up to improve the tolerance to wound dressing. This technique presents favorable antalgic results. The indications and the different techniques of block performance (by electrostimulation or echo-guided) are described. The infectious risks related to the presence of catheter near cutaneous wounds are clarified according to recent data of literature. The relevance of these techniques in correlation with the development of chronic pain and on the trophicity of the wounds are also discussed.

Date Created: 20080229 Date Completed: 20080417 Latest Revision: 20150826

20221213

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