title: Ultrasound-guided thoracic paravertebral block catheter experience in 2 neonates.
abstract: The study objective is to describe our experience with placement and management of thoracic paravertebral block catheters in 2 neonates. The design is retrospective chart review of 2 consecutive newborns undergoing repair of tracheoesophageal fistula. Ultrasound-guided oblique intercostal approach for catheter placement and infusions of dilute ropivicaine for 4-5 days. The measurements are postoperative narcotics and sedatives administered. The main results are neither infant required continuous infusions of sedatives or narcotics. Thoracic paravertebral block catheter infusions for neonatal thoracotomy and chest tube placement may eliminate the need for continuous narcotic infusions and may avoid the need for narcotic and benzodiazepine taper or weaning.
authors.affiliation: Covenant Children's Hospital, 4000 24th St, Lubbock TX USA 79410; Departments of Pediatrics and Anesthesiology, Texas Tech University Health Science Center, 3601 4th St, Lubbock TX USA 79430. Electronic address: methompsonmd@gmail.com.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Thompson
authors.affiliation: Covenant Children's Hospital, 4000 24th St, Lubbock TX USA 79410. Electronic address: Brittany.haynes@ymail.com.
authors.forename: Brittany
authors.initials: B
authors.lastname: Haynes
mesh_terms: D000577:Amides / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000775:Anesthesia, Spinal / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D002404:Catheterization / Q000379:methods; D015505:Chest Tubes; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007231:Infant, Newborn; D009407:Nerve Block / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies; D000077212:Ropivacaine; D013131:Spine / Q000002:abnormalities / Q000000981:diagnostic imaging; D013908:Thoracotomy; D014138:Tracheoesophageal Fistula / Q000601:surgery; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D000577:Amides; D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D000077212:Ropivacaine
keywords: Neonate; Paravertebral; Regional; Ropivacaine; Tracheoesophageal fistula