Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2006-1-23
pubmed:abstractText
The development of complex regional pain syndrome (CRPS) is not an uncommon complication after Dupuytren's surgery. Despite increasing research interest, little is known regarding which patients are at increased risk for developing CRPS and what is the optimal perioperative treatment strategy for preventing the occurrence of this disease after surgery. We prospectively evaluated the use of four anesthetic techniques (general anesthesia, axillary block, and IV regional anesthesia [IVRA] with lidocaine with or without clonidine) for patients undergoing fasciectomy for Dupuytren's contracture. All patients were followed in the Pain Management Center at 1, 3, and 12 mo postoperatively by a blinded physician to evaluate the presence of CRPS. Significantly (P < 0.01) more patients developed postoperative CRPS in the general anesthesia group (n = 25; 24%) and the IVRA lidocaine group (n = 12; 25%) compared with either the axillary block group (n = 5; 5%) or the IVRA lidocaine and clonidine group (n = 3; 6%). We conclude that axillary block or IVRA with clonidine offers a significant advantage for decreasing the incidence of CRPS compared with either IVRA with lidocaine alone or general anesthesia for patients undergoing Dupuytren's surgery.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1526-7598
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
102
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
499-503
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:16428550-Aged, pubmed-meshheading:16428550-Anesthesia, pubmed-meshheading:16428550-Anesthesia, Conduction, pubmed-meshheading:16428550-Anesthesia, General, pubmed-meshheading:16428550-Anesthesia, Intravenous, pubmed-meshheading:16428550-Arm, pubmed-meshheading:16428550-Axilla, pubmed-meshheading:16428550-Clonidine, pubmed-meshheading:16428550-Complex Regional Pain Syndromes, pubmed-meshheading:16428550-Dupuytren Contracture, pubmed-meshheading:16428550-Fascia, pubmed-meshheading:16428550-Female, pubmed-meshheading:16428550-Humans, pubmed-meshheading:16428550-Lidocaine, pubmed-meshheading:16428550-Male, pubmed-meshheading:16428550-Middle Aged, pubmed-meshheading:16428550-Nerve Block, pubmed-meshheading:16428550-Postoperative Complications, pubmed-meshheading:16428550-Tourniquets
pubmed:year
2006
pubmed:articleTitle
The incidence of complex regional pain syndrome after fasciectomy for Dupuytren's contracture: a prospective observational study of four anesthetic techniques.
pubmed:affiliation
Department of Anesthesiology, Baystate Medical Center, Springfield, Massachusetts 01199, USA. scott.reuben@bhs.org
pubmed:publicationType
Journal Article, Comparative Study, Retracted Publication, Research Support, Non-U.S. Gov't