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  • Complex Regional Pain Syndrome
  • CASE REPORT
  • DISCUSSION
  • CONCLUSIONS
  • ACKNOWLEDGMENT
  • REFERENCES
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Complex regional pain syndrome (CRPS) is a potentially debilitating form of neuropathic pain that may manifest following a traumatic injury or surgery. CRPS is also known as algodystrophy, causalgia, or reflex sympathetic dystrophy (RSD). Patients describe unbearable burning pain from nonnociceptive stimuli, such as when taking a shower or brushing against another object. Regular tactile stimuli encountered during routine dental procedures may not be well-tolerated by a patient with CRPS. Ketamine infusions have been reported to help alleviate acute exacerbations or “flare-ups” of CRPS symptoms. This case report provides a brief overview of CRPS pathophysiology and treatment including data supporting the use of ketamine infusions and a discussion regarding the anesthetic management of a patient with CRPS presenting for dental care under deep sedation utilizing high-dose intravenous ketamine.

Keywords: CRPS; Complex regional pain syndrome; RSD; Reflex sympathetic dystrophy; Causalgia; Ketamine; Ketamine infusion; Infusion; Anesthesiology; Perioperative
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Copyright: © 2020 by the American Dental Society of Anesthesiology
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eISSN: 1878-7177

ISSN: 0003-3006

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