Rebound pain tras bloqueo ciático poplíteo en un paciente con dolor neuropático refractario: a propósito de un caso clínico.
Saved in:
| Title: | Rebound pain tras bloqueo ciático poplíteo en un paciente con dolor neuropático refractario: a propósito de un caso clínico. |
|---|---|
| Alternate Title: | Rebound pain after popliteal sciatic nerve block in a patient with refractory neuropathic pain: a case report. |
| Authors: | Redondo-Camós, Francisco1 (AUTHOR) fredondo@santpau.cat, Melo-Cruz, Martha1 (AUTHOR), Gutiérrez-Sánchez, Gaizka1 (AUTHOR), Rodríguez-Vergara, Álex1 (AUTHOR), Ferrándiz-Mach, Marta1 (AUTHOR) |
| Source: | Dolor: Investigación, Clínica & Terapéutica. 2025, Vol. 40 Issue 4, p105-110. 6p. |
| Subjects: | NERVE block, PAIN management, DEXAMETHASONE, CHRONIC pain, CONDUCTION anesthesia, NEURALGIA |
| Abstract (English): | This case report reviews the phenomenon of rebound pain (RP) following peripheral nerve blocks (PNB), a prevalent issue in regional anesthesia. RP is defined as intense pain that occurs when the effect of the PNB wears off, often exceeding the initial pain. Risk factors, pathophysiological mechanisms, and mitigation strategies are analyzed. It is highlighted that RP intensity may depend on the duration of the block, the technique used, and individual patient characteristics. Preventive strategies include multimodal analgesia, prophylactic dexamethasone use, and continuous PNB, as well as patient education. The importance of future studies is also discussed to better understand this phenomenon and develop more effective strategies for its prevention (especially in patients with chronic pain), its diagnosis and its treatment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | En este caso se revisa el fenómeno del rebound pain (RP) tras el bloqueo de nervios periféricos (BNP), un problema que podría estar afectando hasta un 50% de los pacientes con anestesia regional. El RP se define como un dolor intenso que aparece cuando el efecto del BNP desaparece, frecuentemente de mayor intensidad que el dolor inicial. Se analizan factores de riesgo, mecanismos fisiopatológicos y estrategias de mitigación. Se destaca que la intensidad del RP puede depender de la duración del bloqueo, la técnica empleada y las características individuales del paciente. Entre las estrategias preventivas, se mencionan la analgesia multimodal, el uso de dexametasona profiláctica y el BNP continuo, así como educación al paciente sobre el dolor. También se discute la importancia de estudios futuros para comprender mejor este fenómeno y desarrollar estrategias más efectivas para su prevención (especialmente en pacientes con dolor crónico), su diagnóstico y su tratamiento. [ABSTRACT FROM AUTHOR] |
| Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | This case report reviews the phenomenon of rebound pain (RP) following peripheral nerve blocks (PNB), a prevalent issue in regional anesthesia. RP is defined as intense pain that occurs when the effect of the PNB wears off, often exceeding the initial pain. Risk factors, pathophysiological mechanisms, and mitigation strategies are analyzed. It is highlighted that RP intensity may depend on the duration of the block, the technique used, and individual patient characteristics. Preventive strategies include multimodal analgesia, prophylactic dexamethasone use, and continuous PNB, as well as patient education. The importance of future studies is also discussed to better understand this phenomenon and develop more effective strategies for its prevention (especially in patients with chronic pain), its diagnosis and its treatment. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 02140659 |
| DOI: | 10.24875/DOL.M25000029 |
