• J Clin Anesth · Sep 2015

    Ultrasound-guided thoracic paravertebral block catheter experience in 2 neonates.

    • Mark E Thompson and Brittany Haynes.
    • Covenant Children's Hospital, 4000 24th St, Lubbock TX USA 79410; Departments of Pediatrics and Anesthesiology, Texas Tech University Health Science Center, 3601 4th St, Lubbock TX USA 79430. Electronic address: methompsonmd@gmail.com.
    • J Clin Anesth. 2015 Sep 1; 27 (6): 514-6.

    AbstractThe study objective is to describe our experience with placement and management of thoracic paravertebral block catheters in 2 neonates. The design is retrospective chart review of 2 consecutive newborns undergoing repair of tracheoesophageal fistula. Ultrasound-guided oblique intercostal approach for catheter placement and infusions of dilute ropivicaine for 4-5 days. The measurements are postoperative narcotics and sedatives administered. The main results are neither infant required continuous infusions of sedatives or narcotics. Thoracic paravertebral block catheter infusions for neonatal thoracotomy and chest tube placement may eliminate the need for continuous narcotic infusions and may avoid the need for narcotic and benzodiazepine taper or weaning.Copyright © 2015 Elsevier Inc. All rights reserved.

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