Pain Management With Bilateral Continuous Thoracic Paravertebral Block in a Patient With Fontan-Associated Hepatocellular Carcinoma Undergoing Hepatectomy.

Abstract:

OBJECTIVE:We report a case of perioperative management of a single-ventricle patient with Fontan-associated liver disease undergoing hepatectomy. CASE REPORT:A 12-year-old boy with Fontan circulation was scheduled for partial hepatectomy to remove a liver mass in segment 6. He received stent implantation to relieve conduit stenosis 6 months before the operation. The operation was performed under general anesthesia and with a bilateral thoracic paravertebral block (PVB). A continuous paravertebral infusion of levobupivacaine was administered via right and left catheters postoperatively. He was hemodynamically stable throughout the perioperative period, extubated soon after surgery, and had an uncomplicated postoperative course. CONCLUSIONS:An analgesic regimen including thoracic PVB resulted in a rapid recovery without opioid-related side effects and early reinitiation of anticoagulation therapy. Our case illustrates the effective application of thoracic PVB in congenital heart disease patients for non-cardiac-related surgery.

journal_name

Reg Anesth Pain Med

authors

Maeda A,Shibata SC,Okitsu K,Imada T,Takahashi A,Uchiyama A,Kamibayashi T,Fujino Y

doi

10.1097/AAP.0000000000000316

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

718-9

issue

6

eissn

1098-7339

issn

1532-8651

pii

00115550-201511000-00010

journal_volume

40

pub_type

杂志文章
  • Quadratus lumborum block type 3 versus lumbar plexus block in hip replacement surgery: a randomized, prospective, non-inferiority study.

    abstract:INTRODUCTION:The posterior lumbar plexus block (LPB) has been used for decades to provide acute pain management after hip surgery. Unfamiliarity with the technique and its perceived difficulty, potential risks, and possible adverse effects such as quadriceps weakness have limited broader use. The quadratus lumborum blo...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2020-101915

    authors: Polania Gutierrez JJ,Ben-David B,Rest C,Grajales MT,Khetarpal SK

    更新日期:2021-02-01 00:00:00

  • The analgesic effects of perioperative gabapentin on postoperative pain: a meta-analysis.

    abstract:BACKGROUND AND OBJECTIVES:Gabapentin is an anticonvulsant that has been shown to be effective in the treatment of neuropathic and inflammatory pain in animal and human studies. The analgesic effect of its perioperative use has not been fully elucidated. METHODS:This systematic review (meta-analysis) included 12 random...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.rapm.2006.01.005

    authors: Hurley RW,Cohen SP,Williams KA,Rowlingson AJ,Wu CL

    更新日期:2006-05-01 00:00:00

  • Acute postoperative pain is an independent predictor of chronic postsurgical pain following total knee arthroplasty at 6 months: a prospective cohort study.

    abstract:BACKGROUND:Approximately 15% of patients report persistent knee pain despite surgical success following total knee arthroplasty (TKA). The purpose of this study was to determine the association of acute-postsurgical pain (APSP) with chronic postsurgical pain (CPSP) 6 months after TKA controlling for patient, surgical a...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2018-100036

    authors: Buvanendran A,Della Valle CJ,Kroin JS,Shah M,Moric M,Tuman KJ,McCarthy RJ

    更新日期:2019-02-15 00:00:00

  • Ultrasound-guided brachial plexus block in a patient with multiple glomangiomatosis.

    abstract:BACKGROUND AND OBJECTIVES:Glomangiomas are rare, vascular tumors consisting of an afferent artery, arteriovenous canal, neuro-reticular elements, collagen, and efferent veins, and are most often located in the soft tissue of the upper extremities. We describe how the use of ultrasound-guided nerve blockade altered the ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2007.10.003

    authors: Duggan E,Brull R,Lai J,Abbas S

    更新日期:2008-01-01 00:00:00

  • Guidelines for fellowship training in regional anesthesiology and acute pain medicine: third edition, 2014.

    abstract::Directors for Regional Anesthesiology and Acute Pain Medicine fellowships develop and maintain guidelines for fellowship training in the subspecialty. The first edition of the guidelines was published in 2005 with a revision published in 2010. This set of guidelines updates the 2010 revision. The guidelines address 3 ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,实务指引

    doi:10.1097/AAP.0000000000000233

    authors: Regional Anesthesiology and Acute Pain Medicine Fellowship Directors Group.

    更新日期:2015-05-01 00:00:00

  • A Double-Blind Randomized Comparison of Continuous Interscalene, Supraclavicular, and Suprascapular Blocks for Total Shoulder Arthroplasty.

    abstract:BACKGROUND AND OBJECTIVES:Continuous brachial plexus blocks at the interscalene level are associated with known diaphragm dysfunction from phrenic nerve paresis. More distal blocks along the brachial plexus may provide postsurgical analgesia while potentially having less effect on diaphragm function. Continuous intersc...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000578

    authors: Auyong DB,Yuan SC,Choi DS,Pahang JA,Slee AE,Hanson NA

    更新日期:2017-05-01 00:00:00

  • Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care.

    abstract::β-Adrenergic blockade is an important mechanism for reducing morbidity and mortality in patients with hypertension and heart failure. Esmolol has been used widely for its chronotropic and antihypertensive effects. However, there has been recent inquiry regarding perioperative esmolol use and nociceptive modulation. Co...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0000000000000873

    authors: Bahr MP,Williams BA

    更新日期:2018-11-01 00:00:00

  • Comparison of remifentanil and propofol infusions for sedation during regional anesthesia.

    abstract:BACKGROUND AND OBJECTIVES:Patients treated with regional anesthesia often require concomitant medication for comfort and sedation. Propofol is widely used for this purpose. Remifentanil, a new ultra-short-acting opioid, exhibits at low doses distinct sedative properties that may be useful for supplementation of regiona...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1098-7339(98)90112-2

    authors: Lauwers MH,Vanlersberghe C,Camu F

    更新日期:1998-01-01 00:00:00

  • Determination of epidural catheter placement using nerve stimulation in obstetric patients.

    abstract:BACKGROUND AND OBJECTIVES:Peripheral nerve and spinal cord stimulation techniques have been used for many years. However, electrical stimulation methods rarely have been used to confirm epidural catheter placement. This study examines the practicality of this technique to confirm epidural catheter placement in obstetri...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/s1098-7339(99)90160-8

    authors: Tsui BC,Gupta S,Finucane B

    更新日期:1999-01-01 00:00:00

  • Effects of diluent volume of a single dose of epidural bupivacaine in parturients during the first stage of labor.

    abstract:BACKGROUND AND OBJECTIVES:0.1% bupivacaine for obstetric epidural analgesia is given by infusion, using a loading dose of a higher concentration alone or in combination with opioid analgesics. A single dose of 0.1% without any additive for relief of first-stage labor pain has not yet been documented. METHODS:Fifty-eig...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00115550-199823020-00004

    authors: Christiaens F,Verborgh C,Dierick A,Camu F

    更新日期:1998-03-01 00:00:00

  • Viscosupplementation: a new concept in the treatment of sacroiliac joint syndrome: a preliminary report of four cases.

    abstract:BACKGROUND AND OBJECTIVES:We describe a new therapeutic modality for sacroiliac joint syndrome that represents an alternative to other treatment modalities. We report on four cases of sacroiliac joint syndrome with severe pain. METHODS:Three patients had undergone operative treatment of the lumbar spine and one patien...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(99)90170-0

    authors: Srejic U,Calvillo O,Kabakibou K

    更新日期:1999-01-01 00:00:00

  • Preprocedural checklist for regional anesthesia: impact on the incidence of wrong site nerve blockade (an 8-year perspective).

    abstract:BACKGROUND:The term "Wrong-Site Surgery (WSS)" is commonly associated with surgical procedures; however, The Joint Commission (TJC) considers any invasive procedure, not just a surgical procedure, performed on the wrong side, at the wrong site, or on the wrong patient to be a WSS. For anesthesia providers, this means t...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2018-000033

    authors: Henshaw DS,Turner JD,Dobson SW,Douglas Jaffe J,Wells Reynolds J,Edwards CJ,Weller RS

    更新日期:2019-01-13 00:00:00

  • Subarachnoid catheter placement after wet tap for analgesia in labor: influence on the risk of headache in obstetric patients.

    abstract:BACKGROUND AND OBJECTIVES:The incidence of postdural puncture headache (PDPH) after epidural wet tap for obstetric patients may be as high as 75%. We have studied how subsequent placement of a subarachnoid catheter immediately after confirmation of a wet tap, and leaving the catheter in place for 24 hours affects the i...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(03)00393-6

    authors: Ayad S,Demian Y,Narouze SN,Tetzlaff JE

    更新日期:2003-11-01 00:00:00

  • Epidemiology and outcome of postural headache management in spontaneous intracranial hypotension.

    abstract:BACKGROUND AND OBJECTIVES:Spontaneous intracranial hypotension is a postural headache syndrome unrelated to dural puncture. Due to the apparent failure of epidural blood patch to relieve headache in spontaneous intracranial hypotension, we investigated the epidemiologic features and treatment outcomes of this condition...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2001.28275

    authors: Diaz JH

    更新日期:2001-11-01 00:00:00

  • Dual-epidural catheter technique and perioperative outcomes after Ivor-Lewis esophagectomy.

    abstract:BACKGROUND:Ivor-Lewis esophagectomy is associated with significant postoperative analgesic requirements and perioperative complications. A dual-epidural technique may improve perioperative outcomes compared with single thoracic epidural analgesia. METHODS:This study identified all cases of Ivor-Lewis esophagectomy ove...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e318276a714

    authors: Brown MJ,Kor DJ,Allen MS,Kinney MO,Shen KR,Deschamps C,Nichols FC,Mauck WD,Mantilla CB

    更新日期:2013-01-01 00:00:00

  • Disappearance of wheezing during epidural lidocaine anesthesia in a patient with bronchial asthma.

    abstract:BACKGROUND AND OBJECTIVES:Local anesthetics in blood absorbed from the epidural space attenuate bronchial hyperreactivity to chemical stimuli. However, it is not documented whether local anesthetics at clinically relevant concentrations improve active wheezing in patients with bronchial asthma. CASE REPORT:We managed ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(99)90015-9

    authors: Shono S,Higa K,Harasawa I,Sugano H,Dan K

    更新日期:1999-09-01 00:00:00

  • Calciphylaxis treated with neurolytic lumbar sympathetic block: case report and review of the literature.

    abstract:BACKGROUND AND OBJECTIVE:Calciphylaxis is a painful complication of end-stage renal disease and secondary hyperparathyroidism. Calcification most commonly affects skin and soft tissue of the lower extremities resulting in excruciatingly painful skin ulcers. Treatment involves correction of hypercalcemia and hyperphosph...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(00)90018-x

    authors: Green JA,Green CR,Minott SD

    更新日期:2000-05-01 00:00:00

  • Unintentional subdural placement of epidural catheters during attempted epidural anesthesia: an anatomic study of spinal subdural compartment.

    abstract:BACKGROUND:Although infrequent, subdural block is a complication of epidural anesthesia with obvious implications. Knowledge of the spinal subdural compartment (dura-arachnoid interface) may help elucidate controversies arising from evidence that subdural catheter placement is feasible and may be difficult to identify ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e31822e0e8c

    authors: Reina MA,Collier CB,Prats-Galino A,Puigdellívol-Sánchez A,Machés F,De Andrés JA

    更新日期:2011-11-01 00:00:00

  • Population Pharmacokinetics of Amitriptyline After Intrathecal, Epidural, and Intravenous Administration in Sheep.

    abstract:BACKGROUND:Amitriptyline (AMI) is a lipophilic, tricyclic antidepressant with analgesic properties that could potentially be used for epidural (EPI) analgesia. However, no pharmacokinetic data are available for AMI in spinal spaces. The objective of this study was to evaluate the spinal disposition and intrathecal (IT)...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000322

    authors: Ratajczak-Enselme M,Grégoire N,Estebe JP,Dollo G,Chevanne F,Bec D,Ecoffey C,Couet W,Le Corre P

    更新日期:2015-11-01 00:00:00

  • Ultrasound-guided posterior approach for the placement of a continuous interscalene catheter.

    abstract:BACKGROUND AND OBJECTIVES:The posterior approach to performing a continuous brachial plexus block at the level of the nerve roots has been described using traditional superficial landmarks. We describe an ultrasound-guided approach for the placement of a continuous interscalene brachial plexus catheter at the level of ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/AAP.0b013e3181933a53

    authors: Antonakakis JG,Sites BD,Shiffrin J

    更新日期:2009-01-01 00:00:00

  • Effect of acute versus continuous glycemic control on duration of local anesthetic sciatic nerve block in diabetic rats.

    abstract:BACKGROUND AND OBJECTIVES:The duration of nerve block is longer in streptozotocin (STZ)-induced diabetic rats for all local anesthetics (with and without adjuvants) compared with normal rats. Perioperative glycemic control is currently practiced to reduce adverse events in many at-risk patients, especially in diabetic ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e31826742fd

    authors: Kroin JS,Buvanendran A,Tuman KJ,Kerns JM

    更新日期:2012-11-01 00:00:00

  • Early intralipid therapy may have prevented bupivacaine-associated cardiac arrest.

    abstract:OBJECTIVE:Local anesthetic-induced cardiotoxicity remains a complication of regional anesthesia, with the potential to result in cardiac arrest refractory to resuscitation. Successful resuscitation using Intralipid (Baxter Pharmaceuticals by Fresenius Kabi, Uppsala, Sweden), has been reported in 2 patients with bupivac...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2007.09.006

    authors: McCutchen T,Gerancher JC

    更新日期:2008-03-01 00:00:00

  • The peripheral analgesic effect of meperidine in reducing propofol injection pain is not naloxone-reversible.

    abstract:BACKGROUND AND OBJECTIVES:Meperidine is frequently used in general anesthesia and perioperative analgesia. In addition to its opioid action, meperidine possesses some local anesthetic properties. A preliminary study using the tourniquet venous retention technique found meperidine to be more effective in reducing propof...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00115550-199823020-00014

    authors: Pang WW,Mok MS,Huang S,Chung YT,Hwang MH

    更新日期:1998-03-01 00:00:00

  • Multimodal Analgesic Protocol and Postanesthesia Respiratory Depression During Phase I Recovery After Total Joint Arthroplasty.

    abstract:BACKGROUND:Multimodal analgesia protocols have shortened hospitalizations after total joint arthroplasty. It is unclear whether individual components of these protocols are associated with respiratory depression during phase I postanesthesia recovery. OBJECTIVES:To test the hypothesis that sedating analgesics used in ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000257

    authors: Weingarten TN,Jacob AK,Njathi CW,Wilson GA,Sprung J

    更新日期:2015-07-01 00:00:00

  • Epidural fentanyl speeds the onset of sensory block during epidural lidocaine anesthesia.

    abstract:BACKGROUND AND OBJECTIVES:Shortening the onset time of sensory block is a practical goal to improve the quality of epidural anesthesia. The addition of fentanyl to a local anesthetic solution is widely used during epidural anesthesia. This randomized double-blind study examined the onset time of sensory block during ep...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/rapm.2001.27852

    authors: Cherng CH,Wong CS,Ho ST

    更新日期:2001-11-01 00:00:00

  • Prevention of intrathecal baclofen withdrawal syndrome: successful use of a temporary intrathecal catheter.

    abstract::Abrupt cessation of intrathecal baclofen (ITB) administration can cause a life-threatening withdrawal syndrome that requires prompt diagnosis and urgent treatment. The current therapy for this condition is administration of propofol, benzodiazepines, paralytics and supportive care. This study reports a 53-year-old pat...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e3181b4cc6b

    authors: Bellinger A,Siriwetchadarak R,Rosenquist R,Greenlee JD

    更新日期:2009-11-01 00:00:00

  • Ultrasound-guided sciatic nerve block in overweight and obese patients: a randomized comparison of performance time between the infragluteal and subgluteal space techniques.

    abstract:BACKGROUND AND OBJECTIVES:Despite ultrasound (US) guidance, sciatic nerve block (SNB) remains among the least performed peripheral blocks. By targeting the tissue plane between the gluteus maximus and quadratus femoris muscles, the US-guided subgluteal space technique may facilitate the performance of US-guided SNB. We...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000016

    authors: Abdallah FW,Chan VW,Koshkin A,Abbas S,Brull R

    更新日期:2013-11-01 00:00:00

  • Effects of the Intraneural and Subparaneural Ultrasound-Guided Popliteal Sciatic Nerve Block: A Prospective, Randomized, Double-Blind Clinical and Electrophysiological Comparison.

    abstract:BACKGROUND AND OBJECTIVES:This prospective, randomized, double-blind study compared the effects of the ultrasound-guided popliteal sciatic nerve block performed by either intraneural or subparaneural approach followed by an electrophysiological evaluation. We hypothesized that intraneural injection provides a faster on...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000413

    authors: Cappelleri G,Cedrati VL,Fedele LL,Gemma M,Camici L,Loiero M,Gallazzi MB,Cornaggia G

    更新日期:2016-07-01 00:00:00

  • Gabapentin for the treatment and prophylaxis of cluster headache.

    abstract:BACKGROUND AND OBJECTIVES:Cluster headache is an uncommon debilitating condition for which effective management remains a challenge. We describe the use of gabapentin in the treatment and prophylaxis of cluster headache in a patient who was refractory to other treatments. CASE REPORT:A 38-year-old man had a history of...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2001.24404

    authors: Tay BA,Ngan Kee WD,Chung DC

    更新日期:2001-07-01 00:00:00

  • Fluoroscopic evaluation of contrast distribution within the adductor canal.

    abstract:BACKGROUND AND OBJECTIVES:This case series assesses the in vivo spread of contrast within the adductor canal in subjects who recently underwent a total knee arthroplasty. A previous analysis of profound leg weakness with a continuous adductor canal revealed contrast spread from the adductor canal to the femoral triangl...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000216

    authors: Yuan SC,Hanson NA,Auyong DB,Choi DS,Coy D,Strodtbeck WM

    更新日期:2015-03-01 00:00:00