Intraoperative Placement of Paravertebral Catheters to Manage Postoperative Pain in Opioid-Dependent Patients After Thoracolumbar Spine Fusion Surgery: A Case Report

A&A Practice
Kelly Y ChenA Sassan Sabouri

Abstract

We introduce a regional technique that involves the intraoperative placement of bilateral paravertebral catheters under direct visualization. The patient had stage IV lung cancer and was on chronic oxycodone therapy. He presented with a T10 metastatic lesion, and underwent spinal decompression with T7-L1 fusion and T10 corpectomy. Before fascial closure, catheters were advanced into the T10 paravertebral space under direct visualization by the surgeon bilaterally. Postoperatively, his pain was well controlled, and narcotic requirements were decreased. Our case report demonstrates that for patients undergoing posterior spine surgery, intraoperative placement of bilateral paravertebral catheters can be used to help manage postoperative pain.

References

Jun 18, 2003·Journal of Orthopaedic Surgery·R J KumarT C Ranjith
Jun 29, 2004·Anesthesiology·Sukanya Mitra, Raymond S Sinatra
Dec 7, 2007·European Journal of Anaesthesiology·M SommerM A E Marcus
May 4, 2010·Anesthesia and Analgesia·Brian CowieMichael J Barrington
Jun 5, 2014·The Journal of Bone and Joint Surgery. American Volume·Dennis LeeClinton Devin

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Citations

Feb 2, 2020·BMJ : British Medical Journal·Janice Hopkins Tanne

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