Sickle cell crisis, or vaso-occlusive crisis (VOC), is a major cause of hospitalizations for adults and children with sickle cell disease, and is associated with increased morbidity and mortality. Despite prompt pharmacological treatment and multimodal pain management, acute pain during a VOC is often not adequately controlled in the pediatric population. We placed a continuous popliteal sciatic nerve block under ultrasound guidance in a pediatric patient for localized refractory pain during a VOC, resulting in improved pain control with preserved sensorimotor function.
From the *Department of Anesthesiology, New York Medical College, Valhalla, New York and †Department of Anesthesiology, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware.
Accepted for publication May 15, 2017.
The authors declare no conflicts of interest.
Address correspondence to Garret Weber, MD, Department of Anesthesiology, New York Medical College, 19 Bradhurst Ave, Suite 3050N, Hawthorne, New York 10532. Address e-mail to Garret.Weber@wmchealth.org.