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Epidural block and phantom limb pain 

Epidural block and phantom limb pain
Chapter:
Epidural block and phantom limb pain
Author(s):

Stephan Schug

DOI:
10.1093/med/9780198834359.003.0053
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date: 24 February 2020

The landmark paper discussed in this chapter, published by Bach et al. in 1988 is a Danish paper that describes a study where patients who were to undergo lower-limb amputation received either preventive, preoperative epidural analgesia for 72 hours before the amputation, or systemic analgesia. At 6 and 12 months post-operatively, all patients in the epidural group were pain free, while 38% and 27%, respectively, in the control group had phantom limb pain. The study has been criticized for a number of points including the pseudorandomization by year of birth, the lack of any blinding, and the small number of patients used in the study (only 25 patients overall).

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