The Treatment of Reflex Sympathetic Dystrophy with Intravenous Regional Bretylium

Ford, Steven R.; Forrest, William H.; Eltherington, L. G.

doi:10.1097/00000542-198801000-00025

Cited by 35 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The tourniquet is inflated, and bretylium (1.25 mg/kg lean body weight) is administered intravenously, to decrease the risk of postoperative pain syndromes. [73][74][75] The previous incision is usually extended, the soft tissue is dissected, and the branches of the medial antebrachial cutaneous nerve are identified. If a neuroma is observed on the medial antebrachial cutaneous nerve, then it is excised and the nerve branch is cauterized and transposed into the muscle of the upper arm.…”

Section: Preferred Surgical Treatment For Secondary Cubital Tunnel Symentioning

confidence: 99%

Management of Secondary Cubital Tunnel Syndrome

Mackinnon

2004

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the general anatomical features and dynamics of the ulnar nerve, as well as its most common points of potential compression. 2. Describe the clinical presentation associated with secondary cubital tunnel syndrome, with the appropriate differential diagnoses. 3. Discuss the diagnostic test results and physical findings important for determining the correct treatment for patients presenting for revision surgical treatment. 4. Discuss the different nonsurgical and surgical interventions for patients with recurrent or persistent ulnar nerve compression at the elbow.Ulnar nerve compression at the elbow is a peripheral nerve disorder that is second in incidence only to carpal tunnel syndrome. The successful treatment of cubital tunnel syndrome can at times be unsatisfactory, with clinical failure rates of approximately 25 percent after surgical treatment. There are a variety of explanations for surgical failure or secondary ulnar nerve compression at the elbow, including improper diagnosis or treatment, incomplete release of the nerve, postoperative scarring, and improper postoperative rehabilitation. This article reviews the relevant history, anatomical features, and presentation of secondary ulnar nerve compression at the elbow. It also attempts to identify the important risk factors for recurrent, persistent, and new disease and to make clinical recommendations regarding diagnosis, management, and surgical treatment. (Plast. Reconstr. Surg. 113: 1e, 2004.)

show abstract

Section: Preferred Surgical Treatment For Secondary Cubital Tunnel Symentioning

confidence: 99%

Management of Secondary Cubital Tunnel Syndrome

Mackinnon

2004

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…They are performed by the intravenous injection of a variety of therapeutic medications after the tourniquet is placed to minimize further spread of the agent. Bretylium [53], ketanserin [54], and ketorolac [55] demonstrated some efficacy in pain inhibition when given regionally.…”

Section: Table 2 Proposed Modified Research Diagnostic Criteria For mentioning

confidence: 99%

Complex regional pain syndrome type I in cancer patients

Mekhail

Kapural

2000

Current Review of Pain

View full text Add to dashboard Cite

show abstract

“…Intravenous regional bretylium has also been used because of its ability to accumulate in adrenergic nerves and block NE release [91]. In addition, bretylium produced objective signs of prolonged sympatholytic activity and improved function in all four patients, and side effects were minimal.…”

Section: Intravenous Regional Blockmentioning

confidence: 99%

Complex regional pain syndromes—reflex sympathetic dystrophy and causalgia

Raj

1998

Current Review of Pain

View full text Add to dashboard Cite

The Treatment of Reflex Sympathetic Dystrophy with Intravenous Regional Bretylium

Cited by 35 publications

References 0 publications

Management of Secondary Cubital Tunnel Syndrome

Management of Secondary Cubital Tunnel Syndrome

Complex regional pain syndrome type I in cancer patients

Complex regional pain syndromes—reflex sympathetic dystrophy and causalgia

Contact Info

Product

Resources

About