Acute Postoperative Pain Management After Major Limb Amputation in a Pediatric Patient

A Case Report

Shannon Grap, Edward Fox, Michelle Freeman, George Blackall, Priti Dalal

Research output: Contribution to journalArticle

Abstract

Purpose: Although total prevention of phantom pain is difficult, pediatric patients requiring amputation benefit from an individualized combination of analgesic techniques for phantom pain reduction using a multimodal and interprofessional approach. This is especially useful in the event a single therapy is ineffective for total pain reduction, and may ultimately lead to a reduction in chronic pain development. Design: Case report with multimodal and interprofessional approach. Methods: A 16-year-old patient with synovial sarcoma underwent a right hemipelvectomy and hip disarticulation. The patient had significant preoperative cancer pain requiring high-dose opioid analgesics prior to surgery. An interprofessional multimodal pain management strategy was used for acute and long-term reduction of postoperative phantom pain. Findings: Although our patient developed acute phantom pain, multimodal therapy reduced immediate pain with resolution by 2 years follow-up. Conclusions: An individualized plan using interprofessional teamwork before surgery may provide optimal results in alleviating phantom pain after amputation for pediatric patients.

Original languageEnglish (US)
Pages (from-to)801-809
Number of pages9
JournalJournal of Perianesthesia Nursing
Volume34
Issue number4
DOIs
StatePublished - Aug 1 2019

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Phantom Limb
Acute Pain
Pain Management
Postoperative Pain
Amputation
Extremities
Pediatrics
Hemipelvectomy
Disarticulation
Synovial Sarcoma
Pain
Chronic Pain
Opioid Analgesics
Analgesics
Hip
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medical–Surgical

Cite this

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Acute Postoperative Pain Management After Major Limb Amputation in a Pediatric Patient : A Case Report. / Grap, Shannon; Fox, Edward; Freeman, Michelle; Blackall, George; Dalal, Priti.

In: Journal of Perianesthesia Nursing, Vol. 34, No. 4, 01.08.2019, p. 801-809.

Research output: Contribution to journalArticle

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