Severe non-opioid-induced pruritus following spinal block

Severe non-opioid-induced pruritus following spinal block

This case report describes an occurrence of intractable localized pruritus after spinal anesthesia in the absence of neuraxial opioid. Pruritus was confined to soles of booth feet. Symptoms were attributed to possible subclinical diabetic distal sensory neuropathy. Pruritus was refractory to IV diph...

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Main Authors: Phillips Bretonya, Torres Maria L., Voronov Gennadiy, Davis-Fourte Felicia, Alexander Bozana
Format: Article
Language:English
Published: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2012-01-01
Series:Scripta Medica
Subjects:
spinal block
non-opioid-induced
propofol
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2012/2490-33291202114P.pdf
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spelling doaj-3674be202978478f8d0c2e296e70a5402020-11-24T23:51:07ZengMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of MedicineScripta Medica2490-33292303-79542012-01-014321141152490-33291202114PSevere non-opioid-induced pruritus following spinal blockPhillips Bretonya0Torres Maria L.1Voronov Gennadiy2Davis-Fourte Felicia3Alexander Bozana4John. H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USAJohn. H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USAJohn. H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USAJohn. H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USAJohn. H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USAThis case report describes an occurrence of intractable localized pruritus after spinal anesthesia in the absence of neuraxial opioid. Pruritus was confined to soles of booth feet. Symptoms were attributed to possible subclinical diabetic distal sensory neuropathy. Pruritus was refractory to IV diphenhydramine, IV lidocaine but responded quickly to subhypnotic dose of IV propofol. The close relationship between pathways for pain and pruritus may result in severe and unusual symptoms. Diagnostic workup should include tests for distal sensory neuropathy. Further understanding of neuropathic pruritus is needed.https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2012/2490-33291202114P.pdfspinal blocknon-opioid-inducedpropofol
collection DOAJ
language English
format Article
sources DOAJ
author Phillips Bretonya
Torres Maria L.
Voronov Gennadiy
Davis-Fourte Felicia
Alexander Bozana
spellingShingle Phillips Bretonya
Torres Maria L.
Voronov Gennadiy
Davis-Fourte Felicia
Alexander Bozana
Severe non-opioid-induced pruritus following spinal block
Scripta Medica
spinal block
non-opioid-induced
propofol
author_facet Phillips Bretonya
Torres Maria L.
Voronov Gennadiy
Davis-Fourte Felicia
Alexander Bozana
author_sort Phillips Bretonya
title Severe non-opioid-induced pruritus following spinal block
title_short Severe non-opioid-induced pruritus following spinal block
title_full Severe non-opioid-induced pruritus following spinal block
title_fullStr Severe non-opioid-induced pruritus following spinal block
title_full_unstemmed Severe non-opioid-induced pruritus following spinal block
title_sort severe non-opioid-induced pruritus following spinal block
publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
series Scripta Medica
issn 2490-3329
2303-7954
publishDate 2012-01-01
description This case report describes an occurrence of intractable localized pruritus after spinal anesthesia in the absence of neuraxial opioid. Pruritus was confined to soles of booth feet. Symptoms were attributed to possible subclinical diabetic distal sensory neuropathy. Pruritus was refractory to IV diphenhydramine, IV lidocaine but responded quickly to subhypnotic dose of IV propofol. The close relationship between pathways for pain and pruritus may result in severe and unusual symptoms. Diagnostic workup should include tests for distal sensory neuropathy. Further understanding of neuropathic pruritus is needed.
topic spinal block
non-opioid-induced
propofol
url https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2012/2490-33291202114P.pdf
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AT torresmarial severenonopioidinducedpruritusfollowingspinalblock
AT voronovgennadiy severenonopioidinducedpruritusfollowingspinalblock
AT davisfourtefelicia severenonopioidinducedpruritusfollowingspinalblock
AT alexanderbozana severenonopioidinducedpruritusfollowingspinalblock
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