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IRS

  • Hitoaki Sato
Chapter

Abstract

Intravenous regional sympathetic block (IRSB), a technique first described in 1974 byHannington-Kiff, is intravenous regional neural blockade. Local intravenous administration of guanethidine in patients with Sudeck’s atrophy and ischemic ulcer of the lower leg showed pain-relieving effects. In this method, a sympathetic blocking agent with local anesthetic is injected from a peripheral vein of affected limb whose proximal portion is tightened by tourniquet for CRPS; the effectiveness of steroids instead of guanethidine has also been reported.

Keywords

IRSB Reserpine Peripheral limb 

References

  1. 1.
    Hannington-Kiff JG. Intravenous regional sympathetic block with guanethidine. Lancet. 1974;25:1019–20.CrossRefGoogle Scholar
  2. 2.
    Varitimidis SE, et al. Complex regional pain syndrome type 1 as a consequence of trauma or surgery to upper extremity: management with intravenous regional anaesthesia, using lidocaine and methyloprednisolone. J Hand Surg Eur Vol. 2011;36(9):771–7.CrossRefGoogle Scholar
  3. 3.
    Iseki M. Intravenous regional sympathetic nerve block. Pain Clinic. 2011;32:S205–10.Google Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  • Hitoaki Sato
    • 1
  1. 1.Division of Anesthesiology, Department of Surgery RelatedKobe University Graduate School of MedicineKobeJapan

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