title: Ultrasound-guided continuous thoracic paravertebral catheter management of acute rib pain secondary to cystic fibrosis exacerbation in a pediatric patient.
abstract: An ultrasound-guided thoracic paravertebral catheter was placed at T8 in a 15-year-old girl with cystic fibrosis and right-sided chest pain from avulsion of the eighth rib, secondary to coughing. She was discharged home after respiratory stabilization and returned to school with the catheter in place. We report the effective use of an ultrasound-guided continuous thoracic paravertebral block in the management of acute rib pain in a pediatric patient with cystic fibrosis.
authors: From the Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota.
authors: Chad
authors: C
authors: Cutshall
authors: Jacob
authors: J
authors: Hutchins
mesh_terms: D059787:Acute Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D000293:Adolescent; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002404:Catheterization / Q000379:methods*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003371:Cough / Q000175:diagnosis / Q000209:etiology*; D003550:Cystic Fibrosis / Q000150:complications* / Q000175:diagnosis; D018450:Disease Progression; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D012272:Ribs / Q000293:injuries*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local