Outpatient analgesia via paravertebral peripheral nerve block catheter and On-Q pump--a case series

Paediatr Anaesth. 2014 Aug;24(8):875-8. doi: 10.1111/pan.12427. Epub 2014 May 12.

Abstract

Outpatient pain management after iliac crest bone harvesting can be challenging. We report the use of home L2 paravertebral nerve block catheter (L2PVBC) in a series of five children. The pain scores were low, and analgesic medication consumption was minimal. No complications were reported related with these catheters, and the patients reported very high pain control satisfaction scores. Outpatient L2PVBC can be beneficial as part of a multimodal analgesia strategy in selected pediatric patients.

Keywords: acute postoperative pain; child; local anesthetic; lumbar paravertebral catheter; outpatient analgesia; regional.

Publication types

  • Case Reports

MeSH terms

  • Acetaminophen / administration & dosage
  • Adolescent
  • Amides / administration & dosage
  • Analgesia / methods*
  • Analgesia, Epidural
  • Analgesics, Non-Narcotic / administration & dosage
  • Analgesics, Opioid / administration & dosage
  • Anesthetics, Local / administration & dosage
  • Bone Transplantation
  • Catheters / statistics & numerical data*
  • Child
  • Female
  • Fentanyl / administration & dosage
  • Humans
  • Ilium
  • Infusion Pumps / statistics & numerical data*
  • Lumbar Vertebrae
  • Male
  • Morphine / administration & dosage
  • Nerve Block / methods*
  • Outpatients / statistics & numerical data*
  • Oxycodone / administration & dosage
  • Pain, Postoperative / drug therapy*
  • Patient Satisfaction / statistics & numerical data
  • Peripheral Nerves / drug effects
  • Ropivacaine
  • Thoracic Vertebrae / innervation

Substances

  • Amides
  • Analgesics, Non-Narcotic
  • Analgesics, Opioid
  • Anesthetics, Local
  • Acetaminophen
  • Morphine
  • Ropivacaine
  • Oxycodone
  • Fentanyl