TITLE

Severe Non-Opioid-Induced Pruritus Following Spinal Block

AUTHOR(S)
Phillips, Bretonya; Torres, Maria L.; Voronov, Gennadiy; Davis-Fourte, Felicia; Alexander, Bozana
PUB. DATE
October 2012
SOURCE
Scripta Medica;2012, Vol. 43 Issue 2, p114
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
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.
ACCESSION #
80536291

 

Related Articles

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics