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Regional Anesthesia for Chronic Pain

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Essentials of Regional Anesthesia

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Abstract

Sympathetic blockade has become a mainstay of therapy in the treatment of a variety of cancer-related and chronic pain conditions. The advent of ultrasound-, fluoroscopy-, endoscopy-, and CT-guided techniques has brought this important area of pain control to the regional anesthesiologist and pain management specialist. Imaging has allowed precise placement of needles to deliver local anesthetics, steroids, and neurolytic substances to block various sympathetic ganglia. With these techniques, pain relief can potentially be achieved for a variety of cancer and noncancer pain conditions.

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Acknowledgment

The authors wish to thank Dr. Ruben Koshy for his contribution to this chapter in the prior edition.

Author information

Authors and Affiliations

  1. Department of Anesthesiology, University of Illinois at Chicago, Chicago, IL, USA

    Neil Malhotra MD & Effrossyni G. Votta-Velis MD, PhD

  2. Department of Anesthesiology, University of Washington, Seattle, WA, USA

    Vijay Krishnamoorthy MD

  3. Department of Anesthesiology, Balgrist University Hospital, Zurich, Switzerland

    Alain Borgeat MD

Authors
  1. Neil Malhotra MD
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  2. Vijay Krishnamoorthy MD
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  3. Effrossyni G. Votta-Velis MD, PhD
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  4. Alain Borgeat MD
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Louisiana State University School of Medicine, New Orleans, Louisiana, USA

    Alan David Kaye

  2. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Richard D. Urman

  3. Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut, USA

    Nalini Vadivelu

Review Questions

Review Questions

  1. 1.

    Celiac plexus block does not alleviate pain originating in the following viscera:

  1. (a)

    Liver

  2. (b)

    Pancreas

  3. (c)

    Uterus

  4. (d)

    Ascending colon

  1. 2.

    Which of the following statements is correct?:

  1. (a)

    Alcohol has a delayed onset compared to phenol.

  2. (b)

    Alcohol is more prone to cause vasospasm.

  3. (c)

    Alcohol is isobaric compared to CSF.

  4. (d)

    Nerve regeneration with the use of alcohol is faster when compared to the one with phenol.

  1. 3.

    Regarding phantom limb pain:

  1. (a)

    It is a nociceptive type of pain.

  2. (b)

    A-beta fibers are involved.

  3. (c)

    Spontaneous dysesthesias are absent.

  4. (d)

    Allodynia is absent.

Answers

  1. 1.

    c

  2. 2.

    b

  3. 3.

    b

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Malhotra, N., Krishnamoorthy, V., Votta-Velis, E.G., Borgeat, A. (2018). Regional Anesthesia for Chronic Pain. In: Kaye, A., Urman, R., Vadivelu, N. (eds) Essentials of Regional Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-74838-2_27

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  • DOI: https://doi.org/10.1007/978-3-319-74838-2_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74837-5

  • Online ISBN: 978-3-319-74838-2

  • eBook Packages: MedicineMedicine (R0)

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