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 language | English |
|---|---|
| Pages (from-to) | 538-541 |
| Number of pages | 4 |
| Journal | Regional Anesthesia and Pain Medicine |
| Volume | 41 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jun 21 2016 |
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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 journal › Article
}
TY - JOUR
T1 - In-plane ultrasound-guided lumbar plexus block using catheter-over-needle technique in a 14-month-old baby
AU - Tognù, Andrea
AU - Cauli, Veronica
AU - De Simone, Nicola
AU - Aurini, Lucia
AU - Manfrini, Marco
AU - Bonarelli, Stefano
PY - 2016/6/21
Y1 - 2016/6/21
N2 - 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.
AB - 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.
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U2 - 10.1097/AAP.0000000000000417
DO - 10.1097/AAP.0000000000000417
M3 - Article
VL - 41
SP - 538
EP - 541
JO - Regional Anesthesia and Pain Medicine
JF - Regional Anesthesia and Pain Medicine
SN - 1098-7339
IS - 4
ER -