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Anesth Analg 2007;104:1078-1080
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000260563.39299.9c

PEDIATRIC ANESTHESIA

Intrathecal Local Anesthetic Infusion as a Treatment for Complex Regional Pain Syndrome in a Child

Ibrahim S. Farid, MD, and Elizabeth J. Heiner, MSN, RN, CNS

From the Division of Pain Medicine, Akron Children's Hospital, Akron, Ohio.

Address correspondence and reprints requests to Dr. Ibrahim Farid, Pain Center, Director, Children's Hospital Medical Center of Akron, 1 Perkin's Square, Akron, Ohio 44308. Address e-mail to ifarid{at}chmca.org.

Diagnosis and treatment of complex regional pain syndrome in children is one of the most challenging clinical pain problems encountered in the chronic pain setting. Despite the intense and debilitating nature of the pain, referral to appropriate specialists often comes too late, thereby prolonging an already arduous (and controversial) course of treatment and risking long-term disability. On the contrary, full recovery can be expected with early diagnosis and prompt treatment. The following case study describes a novel and successful use of intrathecal catheter administration of ropivacaine in a child with early, rapidly progressing, and debilitating complex regional pain syndrome.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.