The belligerent patient
A 54 year-old male with a history of chronic back pain, substance abuse, and right Achilles tendon rupture presented for Achilles tendon repair. In pre-op, a continuous right popliteal block was performed. In PACU, the patient reported 0/10 pain and did not require any IV or oral analgesics. The catheter was removed by the patient on POD3. 6 weeks following surgery, the patient presented to the EC with paresthesias and allodynia in the right foot. During this admission the patient was uncooperative and dismissive with staff. This discussion will address the challenges associated with treating a belligerent patient.
Pamacheche C, McDavid ML, Soto RG. The belligerent patient. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.