Post-thoracotomy Horner syndrome associated with extrapleural infusion of local anesthetic.
Continuous incisional infusion of local anesthetic through an extrapleural catheter to achieve an intercostal nerve block is a safe and effective adjunct to control postoperative pain after thoracotomy. Local and systemic complications are rare. Here we present a case of an acute, reversible, post-thoracotomy Horner syndrome associated with the use of local anesthetic infusion via an intraoperatively placed extrapleural catheter.
New York University Langone Medical Center, New York, NY 10016, USA. keith.blechman@med.nyu.edu
Keith M
KM
Blechman
Michael
M
Zervos
D000230:Adenocarcinoma / Q000601:surgery; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D002045:Bupivacaine / Q000008:administration & dosage / Q000009:adverse effects*; D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery; D005260:Female; D006732:Horner Syndrome / Q000139:chemically induced*; D006801:Humans; D007263:Infusions, Parenteral; D007367:Intercostal Nerves; D008175:Lung Neoplasms / Q000601:surgery; D008875:Middle Aged; D009407:Nerve Block; D010149:Postoperative Pain / Q000517:prevention & control*; D013908:Thoracotomy
D000779:Anesthetics, Local; D002045:Bupivacaine