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2024, Number 1

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Rev Mex Anest 2024; 47 (1)

Interscalene block in right thoracic limb disarticulation due to pleomorphic liposarcoma, for the prevention of phantom limb pain. Case report

Ramírez-Villagómez JA, Navarrete-Guzmán J, González-González JR

Language: Spanish
References: 9
Page: 52-56
PDF size: 322.87 Kb.


ABSTRACT

Pleomorphic liposarcoma is a neoformation, which mainly affects the extremities. Being the patient candidate to perform a wide resection or even amputation of the affected limb. As part of a multimodal anesthetic technique, the use of ultrasound-guided blocks are useful, reducing opioid requirements, having an important impact on the preservation of the cancer patient's immunity, also adding an alpha 2 agonist, which provides adequate postoperative analgesia, and performing the blocks prior to amputation, we have a higher success rate in the prevention of pain and phantom limb syndrome.


REFERENCES

  1. Toro Zambrano W, Gómez Durán A, Mayoral Guisado C, Hernández Amate A, Díaz Delgado M. Liposarcoma pleomórfico: estudio molecular de un caso y revisión bibliográfica. Rev Esp Patol. 2017;50:247-252.

  2. Chang CY, Wu MY, Chien YJ, Su IM, Wang SC, Kao MC. Anesthesia and long-term oncological outcomes: a systematic review and meta-analysis. Anesth Analg. 2021;132:623-634.

  3. Soto G, Guerra Londono JJ, Cata JP. Efectos antiproliferativos de la lidocaína intravenosa y recurrencia de cáncer. Rev Chil Anest. 2023;52:768-775.

  4. Ramirez J, Estrada S, Martinez R. Effectiveness of perineural dexmedetomidine and ropivacaine on preventing phantom limb pain in patients undergoing femoral supracondylar amputation. GJMR. 2020;20:11-17.

  5. Cho HS, Kim S, Kim CS, Kim YJ, Lee JH, Leem JG. Effects of different anesthetic techniques on the incidence of phantom limb pain after limb amputation: a population-based retrospective cohort study. Korean J Pain. 2020;33:267-274.

  6. Ahuja V, Thapa D, Ghai B. Strategies for prevention of lower limb post-amputation pain: a clinical narrative review. J Anaesthesiol Clin Pharmacol. 2018;34:439-449.

  7. Nathan N. Crosshairs on cancer: propofol versus inhalational agents and cancer outcomes. Anesth Analg. 2021;132:622.

  8. Hussain N, Grzywacz VP, Ferreri CA, Atrey A, Banfield L, Shaparin N et al. Investigating the efficacy of dexmedetomidine as an adjuvant to local anesthesia in brachial plexus block: a systematic review and meta-analysis of 18 randomized controlled trials. Reg Anesth Pain Med. 2017;42:184-196.

  9. Pitchon DN, Dayan AC, Schwenk ES, Baratta JL, Viscusi ER. Updates on multimodal analgesia for orthopedic surgery. Anesthesiol Clin. 2018;36:361-373.




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