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Case Reports
. 2003 Sep;97(3):715-717.
doi: 10.1213/01.ANE.0000075836.53838.EB.

Continuous paravertebral catheter and outpatient infusion for breast surgery

Chester C Buckenmaier 3rd  1 , Stephen M Klein, Karen C Nielsen, Susan M Steele
Affiliations
Case Reports

Continuous paravertebral catheter and outpatient infusion for breast surgery

Chester C Buckenmaier 3rd et al. Anesth Analg. 2003 Sep.

Erratum in

  • Anesth Analg. 2004 Jan;98(1):101

Abstract

Paravertebral somatic nerve block (PVB) provides improved analgesia and decreased side effects compared with general anesthesia for breast surgery. The analgesia is limited with single injection PVB to the duration of the local anesthetic. Continuous paravertebral catheters and disposable home infusion systems allow extended analgesia after major breast surgery while maintaining the ambulatory status of the patient. We describe the successful use of continuous paravertebral anesthesia in two patients undergoing major breast surgery. A novel needle system for paravertebral catheter insertion is also presented.

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References

    1. Klein SM, Bergh A, Steele SM, et al. Thoracic paravertebral block for breast surgery. Anesth Analg 2000; 90: 1402–5.
    1. Karmakar MK. Thoracic paravertebral block. Anesthesiology 2001; 95: 771–80.
    1. Ilfeld BM, Morey TE, Enneking FK. Continuous infraclavicular brachial plexus block for postoperative pain control at home: a randomized, double-blinded, placebo-controlled study. Anesthesiology 2002; 96: 1297–304.
    1. Klein SM, Greengrass RA, Gleason DH, et al. Major ambulatory surgery with continuous regional anesthesia and a disposable infusion pump. Anesthesiology 1999; 91: 563–5.
    1. Greengrass R, Steele S. Paravertebral blocks for breast surgery. Tech Reg Anesth Pain Manage 1998; 2: 8–12.

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