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. 2021 Oct 20;15(10):e01540.
doi: 10.1213/XAA.0000000000001540.

Continuous Local Anesthetic Infusion via Chest Wall Catheter for Analgesia After Thoracic Surgery in Neonates: A Case Series

Divya Dixit  1   2 , Dinesh K Choudhry  3 , Kirk Reichard  2   4
Affiliations

Continuous Local Anesthetic Infusion via Chest Wall Catheter for Analgesia After Thoracic Surgery in Neonates: A Case Series

Divya Dixit et al. A A Pract. .

Abstract

Pain management options in neonates after thoracotomy have traditionally been limited to intravenous opioids and caudal catheters. However, because of increasing familiarity with ultrasound imaging, erector spinae and paravertebral nerve blocks are being performed more frequently. For thoracic procedures, we describe a case series of 4 neonates involving ropivacaine infusion via an extrathoracic chest wall catheter placed by the surgeon. This technique requires less time, is less invasive, does not require ultrasound, and enabled us to accomplish tracheal extubation in the operating room immediately after surgery, and decreased postoperative opioid use in the neonatal intensive care unit.

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Conflict of interest statement

The authors declare no conflicts of interest.

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References

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