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- Kelly Y Chen, Eric Abhold, John H Shin, and A Sassan Sabouri.
- From the Departments of Anesthesia, Critical Care, and Pain Medicine.
- A A Pract. 2019 Nov 15; 13 (10): 369-372.
AbstractWe introduce a regional technique that involves the intraoperative placement of bilateral paravertebral catheters under direct visualization. The patient had stage IV lung cancer and was on chronic oxycodone therapy. He presented with a T10 metastatic lesion, and underwent spinal decompression with T7-L1 fusion and T10 corpectomy. Before fascial closure, catheters were advanced into the T10 paravertebral space under direct visualization by the surgeon bilaterally. Postoperatively, his pain was well controlled, and narcotic requirements were decreased. Our case report demonstrates that for patients undergoing posterior spine surgery, intraoperative placement of bilateral paravertebral catheters can be used to help manage postoperative pain.
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