Multimodal analgesia in the treatment of a case of pediatric primary erythromelalgia with infection and pharmaceutical care
OBJECTIVE To explore a multimodal analgesia regimen based on spinal cord electrical stimulation for children with primary erythromelalgia and the key points of pharmaceutical care.METHODS Clinical pharmacists participated in the treatment of a child with primary erythromelalgia complicated with skin infection.After reviewing domestic and foreign literature,multimodal analgesia was formulated and pharmaceutical care was carried out to address the difficulties in treating the patient's illness.RESULTS The treatment team applied multimodal analgesia based on spinal cord electrical stimulation for the child,including a multi-drug combination involving different analgesic pharmacological targets,multiple administration routes(oral,intravenous,epidural,percutaneous),multiple technologies(spinal cord electrical stimulation,local nerve block,patient-controlled analgesia),individualized schemes of adjuvant therapy,and the child was monitored for the safety of drug use.The pain was controlled during the treatment and follow-up period,the wound was healed,and no serious adverse drug reactions occurred.CONCLUSIONS Multimodal analgesia based on spinal cord electrical stimulation is a safe and effective treatment for children with primary erythromelalgia.
erythromelalgiaspinal cord electrical stimulationmultimodal analgesiaclinical pharmacistpharmaceutical care
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