Effective Pain Management After Total Hip Arthroplasty in a Sickle Cell Patient Emphasizing Dexamethasone Sodium Phosphate/Methylprednisolone Acetate Administered via a Peripheral Nerve Blockade: A Case Report

A&A Practice
Jinlei LiDaniel Carlyle

Abstract

Pain control after total hip arthroplasty in sickle cell patients is challenging yet essential to prevent sickle cell crises or protracted hospital stays. We present a case of effective analgesia that lasted for weeks in a young opioid-tolerant female. This was achieved by the administration of glucocorticoids with different durations of action, dexamethasone sodium phosphate/methylprednisolone acetate, via a femoral/lateral femoral cutaneous nerve block placed preoperatively. Postoperatively, the patient's opioid demand was unchanged from her preoperative baseline. She met all the discharge requirements, including physical therapy targets, on postoperative day 2 and did not have any complications during the hospitalization.

References

Jul 1, 1990·Acta Anaesthesiologica Scandinavica·A JohanssonB Sjölund
Apr 16, 2003·Annals of the Rheumatic Diseases·E M ShanahanO FitzGerald
Jan 1, 2011·Frontiers in Endocrinology·Roberto Cosimo MelcangiLuis Miguel Garcia-Segura
Jul 25, 2015·Current Opinion in Anaesthesiology·Joshua B KnightBrian A Williams

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