Weber Garret, Liao Sherry, Burns Micah Alexander
From the *Department of Anesthesiology, New York Medical College, Valhalla, New York and †Department of Anesthesiology, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware.
A A Case Rep. 2017 Nov 15;9(10):297-299. doi: 10.1213/XAA.0000000000000598.
Sickle cell crisis, or vaso-occlusive crisis (VOC), is a major cause of hospitalizations for adults and children with sickle cell disease, and is associated with increased morbidity and mortality. Despite prompt pharmacological treatment and multimodal pain management, acute pain during a VOC is often not adequately controlled in the pediatric population. We placed a continuous popliteal sciatic nerve block under ultrasound guidance in a pediatric patient for localized refractory pain during a VOC, resulting in improved pain control with preserved sensorimotor function.
镰状细胞危象，即血管闭塞性危象（VOC），是镰状细胞病成人和儿童住院治疗的主要原因，且与发病率和死亡率增加相关。尽管进行了及时的药物治疗和多模式疼痛管理，但在儿科患者中，VOC期间的急性疼痛往往得不到充分控制。我们在超声引导下对一名儿科患者进行了连续腘部坐骨神经阻滞，用于治疗VOC期间局部难治性疼痛，结果在保留感觉运动功能的情况下改善了疼痛控制。
