Document Detail

Bilateral continuous paravertebral block used for postoperative analgesia in an infant having bilateral thoracotomy.
MedLine Citation:
PMID:  9365974     Owner:  NLM     Status:  MEDLINE    
We describe the successful postoperative pain management in an 11-month-old infant who underwent bilateral thoracotomy, using continuous infusions of bupivacaine into two directly placed paravertebral catheters. Haemodynamic parameters and pain scores were measured 1-2 h for 60 h while the infusions were continued and, intermittently, blood samples were taken for subsequent measurement of serum bupivacaine concentrations. The technique provided effective pain relief and the infant required no other analgesia postoperatively. There were no adverse haemodynamic consequences or complications relating to either catheter placement or drug infusions. Serum concentrations of bupivacaine remained below toxic levels throughout the study period, though accumulation did occur.
M K Karmakar; P D Booker; R Franks
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  7     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  1997  
Date Detail:
Created Date:  1998-01-08     Completed Date:  1998-01-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  469-71     Citation Subset:  IM    
Royal Liverpool Children's NHS Trust, UK.
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MeSH Terms
Analgesia / methods*
Anesthesia, Spinal*
Anesthetics, Local / administration & dosage,  blood,  therapeutic use*
Aorta / abnormalities,  surgery
Brachiocephalic Veins / abnormalities,  surgery
Bupivacaine / administration & dosage,  blood,  therapeutic use*
Catheterization / instrumentation
Follow-Up Studies
Hemodynamics / drug effects
Injections / instrumentation
Nerve Block*
Pain Measurement
Pain, Postoperative / drug therapy*
Pulmonary Artery / abnormalities,  surgery
Pulmonary Veins / abnormalities,  surgery
Thoracotomy / adverse effects,  methods*
Reg. No./Substance:
0/Anesthetics, Local; 2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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