Pain Management

Question 1

Management of Complex Pain Syndrome

Answer 1

Lumbar sympathetic block (unilateral sympathectomy to see if pain improves); if successful, can perform neurolysis. Last resort is spinal cord stimulation or intrathecal pump with Baclofen or opioids.

Question 2

Allodynia

Answer 2

Perceives an non-noxious stimuli as painful

Question 3

Anesthesia Dolorosa

Answer 3

Pain in an area that lacks sensation (most likely the face)

Question 4

Hyperalgesia

Answer 4

Increased pain response to noxious stimuli or pain out of proportion to physical findings

Question 5

Intrathecal Morphine Conversion

Answer 5

1:10:100 (Intrathecal, epidural, IV)

Question 6

Pain Fibers (A Delta and C)

Answer 6

A Delta- thin and transmit acute sharp tingling sensation, C fibers- small and slow which transmit dull burning sensation

Question 7

Codeine

Answer 7

Converted to morphine. Contraindicated in children following tonsillectomy