title: Thoracic paravertebral catheter placement for acute rib pain in a pregnant patient with cystic fibrosis.
abstract: A 30-year-old woman with cystic fibrosis at 33 weeks, 4 days' gestation sustained a rib injury during an acute pulmonary exacerbation, resulting in noncompliance with her chest wall oscillation therapy and worsening of her respiratory status with concern for inducing labor early. Insertion of an ultrasound-guided thoracic paravertebral catheter produced immediate pain relief, eliminating the need for further opioids, and she was able to tolerate her chest wall oscillation treatment. She was discharged home after 7 days and was able to deliver a healthy baby at 38 weeks via spontaneous vaginal delivery.
authors: From the Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota.
authors: Jacob L
authors: JL
authors: Hutchins
authors: Robert Alexander
authors: RA
authors: Jacobs
mesh_terms: D059787:Acute Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002404:Catheterization / Q000379:methods*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D035641:Chest Wall Oscillation / Q000009:adverse effects; D003371:Cough / Q000209:etiology; D003550:Cystic Fibrosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005865:Gestational Age; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D011247:Pregnancy; D012272:Ribs / Q000293:injuries*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local