• A&A practice · Oct 2019

    Case Reports

    Repeated Intercostal Nerve Blocks With Liposomal Bupivacaine for Chronic Chest Pain: A Case Report.

    • Mihaela Visoiu and Nicole Verdecchia.
    • From the Department of Pediatric Anesthesiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
    • A A Pract. 2019 Oct 1; 13 (7): 260-263.

    AbstractChronic chest pain is a debilitating condition that is poorly treated, resulting in opioid dependence and significantly decreased quality of life. In this case report, we describe the successful use of 266 mg of liposomal bupivacaine for 4 rounds of left-sided multilevel intercostal nerve blocks performed to treat chronic chest pain of a 21-year-old woman (150 kg, 163 cm). The sensory blockade duration was up to 7 days, analgesia lasted 2 months, and was described superior to that with ropivacaine intercostal blockade. The treatment improved satisfaction with pain control and quality of life.

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