A plea against invasive procedures in children and adolescents with complex regional pain syndrome (CRPS)
Schmerz, 06/12/2012Zernikow B et al.
Despite a lack of evidence for invasive procedures, these continue to be used in children and adolescents with complex regional pain syndrome (CRPS), who later respond positively to conventional treatment.
A retrospective chart study of pediatric chronic pain patients with CRPS was performed.
Over the course of 6 years, 37 (35 girls) children and adolescents took part in a multidisciplinary chronic pain inpatient program.
At admission, patients took on average 4.4 (range 1–10) different medications and 29 different pharmaceuticals were used overall.
Prior to admission, invasive pain treatments were performed without success in 16 of the children (43%).
At least 13 children received two or more invasive treatments.
Although sympathetic blocks were most prevalent, operations and regional anesthesia were also used.
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