In-plane ultrasound-guided lumbar plexus block using catheter-over-needle technique in a 14-month-old baby

Andrea Tognù, Veronica Cauli, Nicola De Simone, Lucia Aurini, Marco Manfrini, Stefano Bonarelli

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This case report details the feasibility of a continuous lumbar plexus block obtained with a paramedian transverse scan of the lumbar paravertebral region, using a catheter-over-needle system, as a main postoperative orthopedic analgesia, in a 14-month-old patient undergoing surgical treatment of a localized Ewing family tumor of the right proximal femur. After surgery, the patient remained in the intensive care unit for 3 days; pain was assessed regularly using the Children's and Infants' Postoperative Pain Scale, and comfort was monitored. Analgesia was provided with continuous levobupivacaine 0.2% infusion 0.2 mL kg-1 h-1, rectal paracetamol 15 mg kg-1, and oral ibuprofen 60 mg twice per day, with a dose of morphine 0.05 mg kg-1 intravenously as rescue. Pain relief was excellent, and no additional morphine was needed during the postoperative course. Nausea, vomiting, and disturbed sleep were not reported. Oral diet was resumed on the first postoperative day. In conclusion, this case represents successful postoperative management of orthopedic pain in a child using continuous posterior lumbar plexus infusion.

Original languageEnglish
Pages (from-to)538-541
Number of pages4
JournalRegional Anesthesia and Pain Medicine
Volume41
Issue number4
DOIs
Publication statusPublished - Jun 21 2016

Fingerprint

Lumbosacral Plexus
Analgesia
Morphine
Needles
Orthopedics
Catheters
Pain
Lumbosacral Region
Ewing's Sarcoma
Ibuprofen
Pain Management
Acetaminophen
Postoperative Pain
Femur
Nausea
Vomiting
Intensive Care Units
Sleep
Diet
Therapeutics

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

In-plane ultrasound-guided lumbar plexus block using catheter-over-needle technique in a 14-month-old baby. / Tognù, Andrea; Cauli, Veronica; De Simone, Nicola; Aurini, Lucia; Manfrini, Marco; Bonarelli, Stefano.

In: Regional Anesthesia and Pain Medicine, Vol. 41, No. 4, 21.06.2016, p. 538-541.

Research output: Contribution to journalArticle

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