Catéter interescalénico combinado con perfusión endovenosa de ketamina en paciente con dolor neuropático. A propósito de un caso.
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| Title: | Catéter interescalénico combinado con perfusión endovenosa de ketamina en paciente con dolor neuropático. A propósito de un caso. |
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| Alternate Title: | Interscalene catheter combined with intravenous ketamine infusion in a patient with neuropathic pain. A case report. |
| Authors: | Kanwal-Akram-Muhammad, Iqra1 (AUTHOR) iqra.k.bibi@gmail.com, Moreno-Rodríguez, Vicente1 (AUTHOR), Abad-Pérez, Alberto1 (AUTHOR), Mira-Puerto, Alejandra1 (AUTHOR) |
| Source: | Dolor: Investigación, Clínica & Terapéutica. 2026, Vol. 41 Issue 1, p20-25. 6p. |
| Subjects: | BRACHIAL plexus block, INTRAVENOUS therapy, BRACHIAL plexus, PALLIATIVE treatment, PAIN management, COMBINED modality therapy, NEURALGIA, BREAST cancer |
| Abstract (English): | 37-year-old woman with advanced breast cancer in palliative care, with supraclavicular adenopathic progression causing severe neuropathic pain in the left upper extremity (visual analog scale (VAS) 10/10) due to compression of the brachial plexus. She was admitted for poor pain control despite intensive treatment with major opioids and neuromodulators. Interscalene catheter was placed under ultrasound control and neurostimulation. Initial infusion of 8 ml of lidocaine 2% and maintenance with ropivacaine 0.2% + fentanyl (2 mcg/ml) at 2 ml/h, combined with an intravenous infusion of ketamine at 0.1 mg/kg/h. The multimodal approach offers a valuable therapeutic alternative in the palliative care setting. In this case, placement of an interscalene catheter with continuous infusion of local anesthetic and opioids in combination with intravenous ketamine infusion allowed effective pain management (VAS 2/10), reducing the need for major opioids and significantly improving the patients well-being. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Mujer de 37 años con neoplasia de mama avanzada en cuidados paliativos, con progresión adenopática supraclavicular que origina un dolor neuropático grave en extremidad superior izquierda (escala visual analógica (EVA) 10/10) debido a la compresión del plexo braquial. Ingresa por mal control del dolor a pesar de tratamiento intensivo con opiáceos mayores y neuromoduladores. Se coloca catéter interescalénico bajo control ecográfico y neuroestimulación. Infusión inicial de 8 ml de lidocaína 2% y mantenimiento con ropivacaína 0,2% + fentanilo (2 mcg/ml) a 2 ml/h, combinado con una perfusión endovenosa de ketamina a 0,1 mg/kg/h. El enfoque multimodal ofrece una alternativa terapéutica valiosa en el contexto de cuidados paliativos. En este caso, la colocación de un catéter interescalénico con infusión continua de anestésico local y opiáceos en combinación con perfusión endovenosa de ketamina permitió un manejo eficaz del dolor (EVA 2/10), reduciendo la necesidad de opioides mayores y mejorando significativamente el bienestar de la paciente. [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 |
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| Abstract: | 37-year-old woman with advanced breast cancer in palliative care, with supraclavicular adenopathic progression causing severe neuropathic pain in the left upper extremity (visual analog scale (VAS) 10/10) due to compression of the brachial plexus. She was admitted for poor pain control despite intensive treatment with major opioids and neuromodulators. Interscalene catheter was placed under ultrasound control and neurostimulation. Initial infusion of 8 ml of lidocaine 2% and maintenance with ropivacaine 0.2% + fentanyl (2 mcg/ml) at 2 ml/h, combined with an intravenous infusion of ketamine at 0.1 mg/kg/h. The multimodal approach offers a valuable therapeutic alternative in the palliative care setting. In this case, placement of an interscalene catheter with continuous infusion of local anesthetic and opioids in combination with intravenous ketamine infusion allowed effective pain management (VAS 2/10), reducing the need for major opioids and significantly improving the patients well-being. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 02140659 |
| DOI: | 10.24875/DOL.M25000021 |
