Regional anaesthesia for repeat Caesarean section in a patient with phantom limb pain.
case_report · Level V
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Abstract
The triggering of phantom limb pain by subarachnoid or epidural anaesthesia has been well described leading to the suggestion that neuraxial regional anaesthesia is relatively contraindicated in lower limb amputees. We report our experience of the provision of anaesthesia for repeat Caesarean section on two occasions in such a patient. Intrathecal fentanyl and morphine supplementation of bupivacaine successfully abolished peri-operative phantom limb pain, whereas epidural anaesthesia was associated with recurrence of phantom limb pain upon regression of the block.
Medical subject headings
- Anesthesia, Conduction
- Anesthesia, Obstetrical
- Cesarean Section, Repeat
- Pain
- Phantom Limb