ESRA19-0533 Peripheral nerve catheter placement under direct vision of surgeon in patient after above knee amputation

Background and aims Pain after above knee amputation for patients with peripheral arterial diseases is a very huge problem. In order to solve this problem, we are searching the ways to reduce pain postoperatively. Methods High-risk 78-year-old patient undergoing major lower limb amputation. A catheter was placed near to the sciatic nerve at the time of amputation by surgeons in order to give continuous local anesthetic infusion. Ropivacaine hydrochorid was used for management of postoperative pain. For 72 hours patient was under control. We analyzed pain scores, opioid use, nausea or vomiting, itching, dizziness and complications. Over 3 days patient did not receive any opioids. Visual analog scale (VAS scale) points matched from 5 to 2 regressively during 72 hours. Results Peripheral nerve catheter placement under direct vision of surgeon in patient after above knee amputation. For 3 days patient did not receive any opioids. Visual analog scale (VAS scale) points matched from 5 till 2 regressively over 72 hours. Conclusions In conclusion, using peripheral wound catheter as multimodal analgesic strategy for managing postoperative pain giving patient significant pain relief and reducing complications. In case report discussed about reduce of acute pain. Chronic stump pain and phantom limb pain were not taken under control.