Abstract
Complex regional pain syndrome is a multifaceted painful condition whose diagnosis is still vague, whose exact pathogenesis is unknown, and whose characteristics change over time. The mainstay of treatment is restoration of function by physical therapy. Currently aggressive multimodal therapy is recommended to achieve pain remission and improvement in activity. If sympathetic blocks fail to help, continuous somatic block via catheter is used to facilitate with pain control. After catheter placement careful monitoring is required to prevent complications or to treat them promptly. One of the less common complications is migration of the catheter. Management of migration requires recognition of the problem, proper diagnostic tests to rule out other associated complications, and careful removal of the catheter.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Albazaz R, Wong YT, Homer-Vanniasinkam S. Complex regional pain syndrome: a review. Ann Vasc Surg. 2008;22(2):297–306.
de Mos M, de Bruijn AG, Huygen FJ, Dieleman JP, Stricker BH, Sturkenboom MC. The incidence of complex regional pain syndrome: a population-based study. Pain. 2007;129(1–2):12–20.
Sandroni P, Benrud-Larson LM, McClelland RL, Low PA. Complex regional pain syndrome type I: incidence and prevalence in Olmsted county, a population-based study. Pain. 2003;103(1–2):199–207.
Harden RN, Bruehl S, Stanton-Hicks M, Wilson PR. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med. 2007;8:326–31.
Capdevila X, Pirat P, Bringuier S, et al. Continuous peripheral nerve blocks in hospital wards after orthopedic surgery. A multicenter prospective analysis of the quality of postoperative analgesia and complications in 1,416 patients. Anesthesiology. 2005;103:1035–45.
Capdevila X, Jaber S, Pesonen P, Borgeat A, Eledjam JJ. Acute neck cellulitis and mediastinitis complicating a continuous interscalene block. Anesth Analg. 2008;107(4):1419–21.
Capdevila X, Bringuier S, Borgeat A. Infectious risk of continuous peripheral nerve blocks. Anesthesiology. 2009;110(1):182–8.
Burgher AH, Hebl JR. Minimally invasive retrieval of knotted nonstimulating peripheral nerve catheters. Reg Anesth Pain Med. 2007;32(2):162–6.
Adhikary SD, Armstrong K, Chin KJ. Perineural entrapment of an interscalene stimulating catheter. Anaesth Intensive Care. 2012;40(3):527–30.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Malik, T. (2018). Migration of a Supraclavicular Catheter for Complex Regional Pain Syndrome. In: Anitescu, M., Benzon, H., Wallace, M. (eds) Challenging Cases and Complication Management in Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-60072-7_48
Download citation
DOI: https://doi.org/10.1007/978-3-319-60072-7_48
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60070-3
Online ISBN: 978-3-319-60072-7
eBook Packages: MedicineMedicine (R0)