Date of Presentation
5-2-2024 12:00 AM
College
Rowan-Virtua School of Osteopathic Medicine
Poster Abstract
Vaso-occlusive pain crisis occurs with obstruction of blood vessels from sickled red blood cells. This results in ischemic injury causing in pain. Acute vasoocclusive pain crisis is one of the most common reasons for patients with sickle cell disease to present to the hospital for medical attention. Acute treatment involves IV opioid therapy, non-opioid therapy, and IV hydration. There is a known lack of trust between a patient in acute pain and a provider in the emergency department (ED) and hospital secondary to stereotypes regarding pain seeking behavior. Here we discuss a case of vasoocclusive pain crisis refractory to opioid therapy and local regional anesthesia as an alternative treatment
Keywords
sickle cell disease, vasoocclusive pain crisis, treatment of vasoocclusive pain crisis, Sickle Cell Anemia, Pain Management, Analgesia, Acute Pain, Emergency Departments
Disciplines
Anesthesia and Analgesia | Cardiovascular Diseases | Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Emergency Medicine | Hematology | Hemic and Lymphatic Diseases | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms
Document Type
Poster
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.41_2024
Included in
Anesthesia and Analgesia Commons, Cardiovascular Diseases Commons, Congenital, Hereditary, and Neonatal Diseases and Abnormalities Commons, Emergency Medicine Commons, Hematology Commons, Hemic and Lymphatic Diseases Commons, Pathological Conditions, Signs and Symptoms Commons
Brief Review: Regional Anesthesia for Vaso-occlusive Pain Crises
Vaso-occlusive pain crisis occurs with obstruction of blood vessels from sickled red blood cells. This results in ischemic injury causing in pain. Acute vasoocclusive pain crisis is one of the most common reasons for patients with sickle cell disease to present to the hospital for medical attention. Acute treatment involves IV opioid therapy, non-opioid therapy, and IV hydration. There is a known lack of trust between a patient in acute pain and a provider in the emergency department (ED) and hospital secondary to stereotypes regarding pain seeking behavior. Here we discuss a case of vasoocclusive pain crisis refractory to opioid therapy and local regional anesthesia as an alternative treatment