Introduction of a novel ultrasound-guided extrathoracic sub-paraspinal block for control of perioperative pain in Nuss procedure patients

Journal of Pediatric Surgery

Volumn 52, Issue 3, 2017, Pages 484-491

  Bryskin, Robert B ^a   Robie, Daniel K ^b   Mansfield, Frederick M ^c,d   Freid, Eugene B ^a   Sukumvanich, Siam ^c  

^a Nemour's Children's Clinic   (United States)

^b NEMOURS CHILDREN S CLINIC   (United States)

^c Mayo School of Graduate Medical Education   (United States)

^d JLR Medical Group   (United States)

Author keywords

Anesthesia; Chest pain; Nerve block; Pain; Pectus excavatum; Postoperative pain; Recovery period

Indexed keywords

DIAZEPAM; DIPHENHYDRAMINE; EPINEPHRINE; FENTANYL; HYDROMORPHONE; INDIGO CARMINE; LOCAL ANESTHETIC AGENT; NITROUS OXIDE; ONDANSETRON; PROPOFOL; ROCURONIUM; ROPIVACAINE; SEVOFLURANE; NARCOTIC ANALGESIC AGENT;

ADOLESCENT; ARTICLE; CADAVER; CASE CONTROL STUDY; CATHETER INFECTION; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; CONTINUOUS INFUSION; CONTROLLED STUDY; DISSECTION; DOUBLE BLIND PROCEDURE; DRUG DOSE COMPARISON; DRUG DOSE INCREASE; FEMALE; FUNCTIONAL STATUS; FUNNEL CHEST; HUMAN; IN VIVO STUDY; INTERCOSTAL NERVE; INTERVENTIONAL ULTRASONOGRAPHY; INTRAVENOUS CATHETER; LOADING DRUG DOSE; MALE; MINIMALLY INVASIVE SURGERY; MUSCLE SPASM; NERVE; NUMERIC RATING SCALE; NUSS PROCEDURE; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PARASPINAL MUSCLE; PILOT STUDY; POSTOPERATIVE ANALGESIA; POSTOPERATIVE NAUSEA AND VOMITING; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PRONE POSITION; PROSPECTIVE STUDY; PRURITUS; RANDOMIZED CONTROLLED TRIAL; SAMPLE SIZE; SPINAL ANESTHESIA; SUBPARASPINAL BLOCK; SURGICAL PATIENT; THORAX PAIN; THORAX SURGERY; TOTAL QUALITY MANAGEMENT; TREND STUDY; ULTRASOUND TRANSDUCER; ANALGESIA; ANATOMY AND HISTOLOGY; CATHETER; DIAGNOSTIC IMAGING; INTERCOSTAL MUSCLE; NERVE BLOCK; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PROCEDURES; THORAX;

ADOLESCENT; ANALGESICS, OPIOID; CADAVER; CATHETERS; DOUBLE-BLIND METHOD; FEMALE; FUNNEL CHEST; HUMANS; HYDROMORPHONE; INTERCOSTAL MUSCLES; INTERCOSTAL NERVES; MALE; NERVE BLOCK; PAIN MANAGEMENT; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PILOT PROJECTS; THORAX; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 85005917718     PISSN: 00223468     EISSN: 15315037     Source Type: Journal    
DOI: 10.1016/j.jpedsurg.2016.09.065     Document Type: Article

References (36)

1. Fokin, A.A., Steuerwald, N.M., Ahrens, W.A., et al. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg 21 (2009), 44–57.
2. Ravitch, M.M., Operative treatment of congenital deformities of the chest. Am J Surg 101 (1961), 588–597.
3. Nuss, D., Kelly, R.E. Jr., Croitoru, D.P., et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 33 (1998), 545–552.
4. Croitoru, D.P., Kelly, R.E. Jr., Goretsky, M.J., et al. Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J Pediatr Surg 37 (2002), 437–445.
5. Nuss, D., Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg 17 (2008), 209–217.
6. Hall Burton, D.M., Boretsky, K.R., A comparison of paravertebral nerve block catheters and thoracic epidural catheters for postoperative analgesia following the Nuss procedure for pectus excavatum repair. Paediatr Anaesth 24 (2014), 516–520.
7. Kavanagh, B.P., Katz, J., Sandler, A.N., Pain control after thoracic surgery. A review of current techniques. Anesthesiology 81 (1994), 737–759.
8. Hammer, G.B., Pediatric thoracic anesthesia. Anesth Analg 92 (2001), 1449–1464.
9. Ruppen, W., Derry, S., McQuay, H.J., et al. Infection rates associated with epidural indwelling catheters for seven days or longer: systematic review and meta-analysis. BMC Palliat Care, 6, 2007, 3.
10. Ruppen, W., Derry, S., McQuay, H.J., et al. Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis. BMC Anesthesiol, 6, 2006, 10.
11. St Peter, S.D., Weesner, K.A., Sharp, R.J., et al. Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair?. J Pediatr Surg 43 (2008), 79–82 [discussion].
12. St Peter, S.D., Weesner, K.A., Weissend, E.E., et al. Epidural vs patient-controlled analgesia for postoperative pain after pectus excavatum repair: a prospective, randomized trial. J Pediatr Surg 47 (2012), 148–153.
13. Weber, T., Matzl, J., Rokitansky, A., et al. Superior postoperative pain relief with thoracic epidural analgesia versus intravenous patient-controlled analgesia after minimally invasive pectus excavatum repair. J Thorac Cardiovasc Surg 134 (2007), 865–870.
14. Butkovic, D., Kralik, S., Matolic, M., et al. Postoperative analgesia with intravenous fentanyl PCA vs epidural block after thoracoscopic pectus excavatum repair in children. Br J Anaesth 98 (2007), 677–681.
15. Kelly, R.E., Goretsky, M.J., Obermeyer, R., et al. Twenty-one years of experience with minimally invasive repair of pectus excavatum by the Nuss procedure in 1215 patients. Ann Surg 252 (2010), 1072–1081.
16. Meyer, M.J., Krane, E.J., Goldschneider, K.R., et al. Case report: neurological complications associated with epidural analgesia in children: a report of 4 cases of ambiguous etiologies. Anesth Analg 115 (2012), 1365–1370.
17. Stanz, C.G.A., Vittinghoff, M., Toller, W., et al. Pain management after minimally invasive pectus excavatum repair: retrospective comparison of paravertebral and lumbar epidural patient-controlled analgesia. Reg Anesth Pain Med, 32, 2007, 1.
18. Cowie, B., McGlade, D., Ivanusic, J., et al. Ultrasound-guided thoracic paravertebral blockade: a cadaveric study. Anesth Analg 110 (2010), 1735–1739.
19. Luyet, C., Herrmann, G., Ross, S., et al. Ultrasoundguided thoracic paravertebral puncture and placement of catheters in human cadavers: where do catheters go?. Br J Anaesth 106 (2011), 246–254.
20. Lonnqvist, P.A., MacKenzie, J., Soni, A.K., et al. Paravertebral blockade. Failure rate and complications. Anaesthesia 50 (1995), 813–815.
21. Bigler, D., Dirkes, W., Hansen, R., et al. Effects of thoracic paravertebral block with bupivacaine versus combined thoracic epidural block with bupivacaine and morphine on pain and pulmonary function after cholecystectomy. Acta Anaesthesiol Scand 33 (1989), 561–564.
22. Kus, A., Gurkan, Y., Gul Akgul, A., et al. Pleural puncture and intrathoracic catheter placement during ultrasound guided paravertebral block. J Cardiothorac Vasc Anesth 27 (2013), e11–e12.
23. Lockwood, L.L., Silbert, L.H., Fleshner, M., et al. Morphine-induced decreases in in vivo antibody responses. Brain Behav Immun 8 (1994), 24–36.
24. Nugent, A.L., Houghtling, R.A., Bayer, B.M., Morphine suppresses MHC-II expression on circulating B lymphocytes via activation of the HPA. J NeuroImmune Pharmacol 6 (2011), 130–141.
25. Chou, R., Gordon, D.B., de Leon-Cassola, O.A., et al. Management of Postoperative Pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' committee on regional anesthesia, executive committee, and administrative council. J Pain 17 (2016), 131–157.
26. Kunkel, M.E., Herkommer, A., Reinehr, M., et al. Morphometric analysis of the relationships between intervertebral disc and vertebral body heights: an anatomical and radiographic study of the human thoracic spine. J Anat 219 (2011), 375–387.
27. Limthongkul, W., Karaikovic, E.E., Savage, J.W., et al. Volumetric analysis of thoracic and lumbar vertebral bodies. Spine J 10 (2010), 153–158.
28. Ottenbacher, K.J., Hsu, Y., Granger, C.V., et al. The reliability of the functional independence measure: a quantitative review. Arch Phys Med Rehabil 77 (1996), 1226–1232.
29. Lukosiene, L., Rugyte, D.C., Macas, A., et al. Postoperative pain management in pediatric patients undergoing minimally invasive repair of pectus excavatum: the role of intercostal block. J Pediatr Surg 48 (2013), 2425–2430.
30. Ruppen, W., Derry, S., McQuay, H., et al. Incidence of epidural hematoma, infection, and neurologic injury in obstetric patients with epidural analgesia/anesthesia. Anesthesiology 105 (2006), 394–399.
31. Luyet, C., Eichenberger, U., Greif, R., et al. Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study. Br J Anaesth 102 (2009), 534–539.
32. Tirotta, C.F., Munro, H.M., Salvaggio, J., et al. Continuous incisional infusion of local anesthetic in pediatric patients following open heart surgery. Paediatr Anaesth 19 (2009), 571–576.
33. Truitt, M.S., Mooty, R.C., Amos, J., et al. Out with the old, in with the new: a novel approach to treating pain associated with rib fractures. World J Surg 34 (2010), 2359–2362.
34. Visser, W.A., Gielen, M.J., Giele, J.L., et al. A comparison of epidural pressures and incidence of true subatmospheric epidural pressure between the midthoracic and low-thoracic epidural space. Anesth Analg 103 (2006), 1318–1321.
35. Kawamata, M., Omote, K., Namiki, A., et al. Measurement of intercostal and pleural pressures by epidural catheter. Anaesthesia 49 (1994), 208–210.
36. Detterbeck, F.C., Efficacy of methods of intercostal nerve blockade for pain relief after thoracotomy. Ann Thorac Surg 80 (2005), 1550–1559.