Effective Pain Management After Total Hip Arthroplasty in a Sickle Cell Patient Emphasizing Dexamethasone Sodium Phosphate/Methylprednisolone Acetate Administered via a Peripheral Nerve Blockade: A Case Report
| Autor: | Lee E. Rubin, Daniel Carlyle, Francisco Perese, Jinlei Li |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Anemia Arthroplasty Replacement Hip medicine.medical_treatment Cell Anti-Inflammatory Agents Anemia Sickle Cell Dexamethasone Dexamethasone Sodium Phosphate medicine Humans Pain Management Glucocorticoids business.industry General Medicine Pain management Methylprednisolone acetate medicine.disease Arthroplasty Methylprednisolone Acetate Treatment Outcome medicine.anatomical_structure Opioid Anesthesia Female business Autonomic Nerve Block medicine.drug Total hip arthroplasty |
| Zdroj: | A&A Practice. 12:171-175 |
| ISSN: | 2575-3126 |
| DOI: | 10.1213/xaa.0000000000000877 |
| Popis: | Pain control after total hip arthroplasty in sickle cell patients is challenging yet essential to prevent sickle cell crises or protracted hospital stays. We present a case of effective analgesia that lasted for weeks in a young opioid-tolerant female. This was achieved by the administration of glucocorticoids with different durations of action, dexamethasone sodium phosphate/methylprednisolone acetate, via a femoral/lateral femoral cutaneous nerve block placed preoperatively. Postoperatively, the patient's opioid demand was unchanged from her preoperative baseline. She met all the discharge requirements, including physical therapy targets, on postoperative day 2 and did not have any complications during the hospitalization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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