PMID: 15372383Sep 17, 2004Paper

Bier block with methylprednisolone and lidocaine in CRPS type I: a randomized, double-blinded, placebo-controlled study

Regional Anesthesia and Pain Medicine
Mehmet Ali TaskaynatanTunc Alp Kalyon

Abstract

To investigate the effect of intravenous regional anesthesia (Bier block) with methylprednisolone and lidocaine in complex regional pain syndrome (CRPS) type I in a randomized, double-blinded, and placebo-controlled study. Twenty-two patients with the diagnosis of CRPS of their upper limb were divided randomly into 2 groups. The mean age was 22.3 +/-1.6 years. Average pain duration was 3.1 +/- 1.4 months. In the placebo group (10 patients), patients received only 100 mL of saline. In the study group (12 patients), 40 mg of methylprednisolone and 10 mL of 2% lidocaine were added to the saline. Treatments were applied once a week. Unless significant adverse effects occurred, 3 sessions of blockade were completed. Pain severity, range of motion (ROM), and volumetric edema measurements were obtained before treatment. Pain severity and satisfaction (resolved, better, no change, or worse) were recorded after each session. The final assessment was performed 1.5 months later. ROM and volumetric measurements were repeated the day after the block and at the final assessment. Differences in pretreatment features of the patients were not statistically significant ( P >.05). In all assessment periods during the study, improvement in pain se...Continue Reading

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Citations

Jul 13, 2005·Clinical Rheumatology·Mehmet Ali TaskaynatanTunc Alp Kalyon
Aug 10, 2006·Clinical Rheumatology·Arif Kenan TanTunc Alp Kalyon
Jan 8, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·De Q H TranRoderick J Finlayson
Oct 8, 2013·Chirurgie de la main·A-M GayR Legré
Jun 30, 2011·Rheumatology·Andreas Goebel
Jul 21, 2005·Regional Anesthesia and Pain Medicine·Donald S Stevens
Jun 15, 2006·The Clinical Journal of Pain·David V Nelson, Brett R Stacey
Oct 18, 2011·The Clinical Journal of Pain·Maaike DirckxFrank J P M Huygen
Feb 20, 2016·Anesthesia and Analgesia·Jijun XuJianguo Cheng
Aug 10, 2010·Pain·Sigrid G L FischerRoberto S G M Perez
Sep 9, 2006·Current Opinion in Anaesthesiology·Amit SharmaSrinivasa N Raja
Aug 24, 2005·Anesthesia and Analgesia·Shihab U AhmedE Daniela Hord
Aug 20, 2014·Nature Reviews. Neurology·Janne GierthmühlenRalf Baron
May 2, 2013·The Cochrane Database of Systematic Reviews·Neil E O'ConnellG Lorimer Moseley
Sep 23, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Maria M WertliFlorian Brunner

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