title: Outpatient analgesia via paravertebral peripheral nerve block catheter and On-Q pump--a case series.
abstract: Outpatient pain management after iliac crest bone harvesting can be challenging. We report the use of home L2 paravertebral nerve block catheter (L2PVBC) in a series of five children. The pain scores were low, and analgesic medication consumption was minimal. No complications were reported related with these catheters, and the patients reported very high pain control satisfaction scores. Outpatient L2PVBC can be beneficial as part of a multimodal analgesia strategy in selected pediatric patients.
authors.affiliation: Department of Anesthesiology, Acute Interventional Pediatric Perioperative Pain Service, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
authors.forename: Mihaela
authors.initials: M
authors.lastname: Visoiu
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage; D000293:Adolescent; D000577:Amides / Q000008:administration & dosage; D000698:Analgesia / Q000379:methods*; D015360:Analgesia, Epidural; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D016025:Bone Transplantation; D057785:Catheters / Q000706:statistics & numerical data*; D002648:Child; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D007085:Ilium; D007260:Infusion Pumps / Q000706:statistics & numerical data*; D008159:Lumbar Vertebrae; D008297:Male; D009020:Morphine / Q000008:administration & dosage; D009407:Nerve Block / Q000379:methods*; D010045:Outpatients / Q000706:statistics & numerical data*; D010098:Oxycodone / Q000008:administration & dosage; D010149:Postoperative Pain / Q000188:drug therapy*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010525:Peripheral Nerves / Q000187:drug effects; D000077212:Ropivacaine; D013904:Thoracic Vertebrae / Q000294:innervation
chemical_list: D000577:Amides; D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D000082:Acetaminophen; D009020:Morphine; D000077212:Ropivacaine; D010098:Oxycodone; D005283:Fentanyl
keywords: acute postoperative pain; child; local anesthetic; lumbar paravertebral catheter; outpatient analgesia; regional