Sciatic (Popliteal Fossa) Catheter for Pediatric Pain Management of Sickle Cell Crisis: A Case Report
Sciatic (Popliteal Fossa) Catheter for Pediatric Pain Management of Sickle Cell Crisis: A Case Report
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DOI：
10.1213/xaa.0000000000000598
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发表时间：
2017-11-15
期刊：
影响因子：
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通讯作者：
Burns, Micah Alexander
中科院分区：
文献类型：
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作者：
Weber, Garret;Liao, Sherry;Burns, Micah Alexander
镰状细胞危象或血管闭塞危象（VOC）是镰状细胞病成人和儿童住院的主要原因，并与发病率和死亡率增加有关。尽管及时的药物治疗和多模式疼痛管理，VOC期间的急性疼痛在儿科人群中往往得不到充分控制。我们在超声引导下对一名儿童患者进行了连续的腘坐骨神经阻滞，以治疗VOC期间的局部顽固性疼痛，从而改善了疼痛控制并保留了感觉运动功能。
Sickle cell crisis, or vaso-occlusive crisis (VOC), is a major cause of hospitalizations for adults and children with sickle cell disease, and is associated with increased morbidity and mortality. Despite prompt pharmacological treatment and multimodal pain management, acute pain during a VOC is often not adequately controlled in the pediatric population. We placed a continuous popliteal sciatic nerve block under ultrasound guidance in a pediatric patient for localized refractory pain during a VOC, resulting in improved pain control with preserved sensorimotor function.