title: Continuous paravertebral catheter and outpatient infusion for breast surgery.
abstract: Paravertebral somatic nerve block (PVB) provides improved analgesia and decreased side effects compared with general anesthesia for breast surgery. The analgesia is limited with single injection PVB to the duration of the local anesthetic. Continuous paravertebral catheters and disposable home infusion systems allow extended analgesia after major breast surgery while maintaining the ambulatory status of the patient. We describe the successful use of continuous paravertebral anesthesia in two patients undergoing major breast surgery. A novel needle system for paravertebral catheter insertion is also presented.
authors.affiliation: Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
authors.forename: Chester C
authors.initials: CC
authors.lastname: Buckenmaier
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Klein
authors.forename: Karen C
authors.initials: KC
authors.lastname: Nielsen
authors.forename: Susan M
authors.initials: SM
authors.lastname: Steele
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures; D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D015409:Mastectomy, Radical; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*