Pain and regional anaesthesia
13 cases, 5 of them in the Core.
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Every answer in Pain and regional anaesthesia has these
- Name the block, the drug and its dose ceiling before the needle goes in.
- Have lipid, airway kit and resuscitation drugs in the room, with full monitoring on.
- Treat pain by its type, nociceptive, neuropathic or visceral, with a multimodal plan.
- Say who follows the patient up: acute pain team, pain clinic or palliative care.
The cases
- Chronic pain after mastectomy: serratus block and LAST
- CRPS: removing ankle metalwork from the affected limb
- Hip arthroplasty in sleep apnoea: neuraxial opioid safety
- Hip fracture on apixaban: block choice and LAST
- Caudal block for hypospadias repair: collapse after injection
- Headache after a day-case spinal, and the headache that isn't PDPH Core
- Buprenorphine maintenance for spinal fusion Core
- Pancreatic cancer pain: neurolytic coeliac plexus block Core
- Multiple rib fractures in an older man with COPD Core
- Lumbar radicular pain: epidural steroid injection
- Below-knee amputation on dual antiplatelets, and phantom pain Core
- Postherpetic neuralgia in an 81-year-old
- Bier block and early cuff deflation