Long-term epidural ketamine, morphine and bupivacaine attenuate reflex sympathetic dystrophy neuralgia

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Long term treatment of intractable reflex sympathetic dystrophy with intrathecal morphine.

BACKGROUND Some patients with reflex sympathetic dystrophy (RD) develop intractable symptoms unresponsive to conventional therapy. Recently, intrathecal morphine therapy has been used with some success in such patients. METHODS The clinical course of two patients with intractable reflex sympathetic dystrophy (RSD) is described. Both patients developed intractable leg pain, swelling and autono...

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Epidural Analgesia with Bupivacaine, Ketamine, and the Combination of Bupivacaine and Ketamine in Sheep

Objective- To evaluate the effects of bupivacaine (B), ketamine (K), and a combination of bupivacaine and ketamine (BK) after lumbosacral epidural analgesia in sheep.   Design- Experimental study.   Animals- Nine healthy male and non-pregnant female Iranian Chall sheep with mean body weight of 38.9 ± 15.1 kg.   Procedures- Animals were selected randomly and three treatments administered. The ...

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[Reflex sympathetic dystrophy].

OBJECTIVE To describe eight patients with reflex sympathetic dystrophy in terms of clinical and laboratory characteristics and treatment. DESCRIPTION Eight children (four girls) with reflex sympathetic dystrophy were retrospectively analyzed. The diagnosis of reflex sympathetic dystrophy was based on the presence of pain in the distal extremities, local edema, vasomotor instability and impair...

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Reflex sympathetic dystrophy.

Reflex sympathetic dystrophy, also known as complex regional pain syndrome type I, is a multisymptom syndrome usually affecting one or more extremities. It is inadequately understood and, therefore, often frustrating to treat. This article presents a case study of a 23-year career nurse who developed reflex sympathetic dystrophy of the left knee. It also reviews the rationale for reflex sympath...

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[Reflex sympathetic dystrophy].

OBJECTIVE The description of three cases of reflex sympathetic dystrophy. DESIGN Retrospective clinical observations. SETTING Gòtic basic Health Area, Barcelona. PATIENTS AND OTHER PARTICIPANTS Two women and a man (aged 75, 65 and 56) with mechanical pain and inflammation in the extremities. Two of the cases had a case history of trauma. Radiological signs of mottled osteoporosis were obs...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1998

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03013259