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- W4387476727 abstract "<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant (see information at the bottom of this page) <h3>Background and Aims</h3> Buerger’s disease is a non-arteriosclerotic segmental inflammatory occlusive vasculitis of small vessels, typically affecting the extremities. The main goal of treatment is to improve blood flow to the affected tissues, which can be achieved by reducing the activity of the sympathetic nervous system. One effective method for achieving this is through the use of brachial plexus block, which blocks sympathetic fibers and promotes vasodilatation. <h3>Methods</h3> 36-year-old man, complaining of pain and trophic lesions in the extremities of the first and second fingers of the right hand with 1 month of evolution. Upon admission he reports pain 10/10 on the numerical rating scale, which has prevented him from sleeping for the last few days. We performed a brachial plexus block, supraclavicular approach and started patient controlled regional analgesia with Ropivacaine 0.2% 15ml every 4hours, 10ml bolus with 1hour lockout. He also started Alprostadil and Enoxaparin. <h3>Results</h3> Patient always reported intensity less than 2/10 and he mentioned that since we performed theblock he was able to sleep again. Seven days after the treatment initiation, the signs attributed to poor perfusion in fingers regressed significantly and on the 14th day, no signs of poor perfusion were observed. <h3>Conclusions</h3> We concluded that the brachial plexus block ensured the return of the patient‘s quality of life by greatly reducing the intensity of the pain and providing him with the possibility of being able to sleep. Furthermore, we believe that the contribution of the brachial plexus block was decisive for the success of the treatment." @default.
- W4387476727 created "2023-10-11" @default.
- W4387476727 creator A5081059658 @default.
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- W4387476727 date "2023-09-01" @default.
- W4387476727 modified "2023-10-16" @default.
- W4387476727 title "#36072 Brachial plexus block as an analgesic and therapeutic strategy in Buerger’s disease" @default.
- W4387476727 doi "https://doi.org/10.1136/rapm-2023-esra.493" @default.
- W4387476727 hasPublicationYear "2023" @default.
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