The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Management of Complex Regional Pain Syndrome Type 1 with Barbiturate Coma Therapy -A case report-

Barbiturate 혼수 요법(Coma Therapy)을 이용한 제1형 복합부위통증증후군 치험 -증례보고-

  • Park, Tae Kyu (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Han, Kyung Ream (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Shin, Dong Wook (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Lee, Young Joo (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Chan (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
  • 박태규 (아주대학교 의과대학 아주대학교병원 마취통증의학과 신경통증클리닉) ;
  • 한경림 (아주대학교 의과대학 아주대학교병원 마취통증의학과 신경통증클리닉) ;
  • 신동욱 (아주대학교 의과대학 아주대학교병원 마취통증의학과 신경통증클리닉) ;
  • 이영주 (아주대학교 의과대학 아주대학교병원 마취통증의학과 신경통증클리닉) ;
  • 김찬 (아주대학교 의과대학 아주대학교병원 마취통증의학과 신경통증클리닉)
  • Received : 2006.10.12
  • Accepted : 2006.12.07
  • Published : 2006.12.30
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Abstract

Although various treatments for complex regional pain syndrome (CRPS) have been proposed, no well recognized treatment for CRPS has been established. Herein, a case using barbiturate coma therapy for the refractory pain management of a 24-year-old male patient, who suffered from constant stabbing and burning pain, with severe touch allodynia in the left upper extremity following blunt trauma on his forearm is described. Interventional treatments, including permanent spinal cord stimulation and large doses of oral medications, were performed. However, the pain could not be controlled, which lead to frequent emergency room treatment for about 1 month prior to his therapy. He then underwent barbiturate coma therapy due to the uncontrollable pain, with repeated sedation therapy due to his outrageous behavior. His pain became increasingly tolerable and the allodynia was markedly decreased after 5 days of coma therapy.

Keywords

References

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