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Continuous Transversalis Fascia Plane Catheter Infusion in a Pediatric Patient Undergoing Alveolar Cleft Repair With Iliac Crest Bone Graft: A Case Report

Sequera-Ramos, Luis MD*; Ruby, Jordan M. MD*; Jackson, Oksana A. MD; Ganesh, Arjunan MBBS*; Gurnaney, Harshad MBBS, MPH*; Kraemer, Francis W. MD*; Muhly, Wallis T. MD*

doi: 10.1213/XAA.0000000000001013
Case Reports
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Harvesting of iliac crest bone graft for alveolar cleft repair in children is associated with significant postoperative pain. Transversalis fascia plane block has emerged as an alternative to local wound infiltration for iliac crest bone graft harvesting and has been used with good effect in adult patients requiring bone graft for orthopedic surgery. Little is known about the use of the transversalis fascia plane block in children or the feasibility of placing a continuous infusion catheter. In this report, we describe our experience using a continuous transversalis fascia plane infusion catheter in the management of a 6-year-old girl undergoing alveolar cleft repair with iliac crest bone graft.

From the *Department of Anesthesiology and Critical Care, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania

Division of Plastic Surgery, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Accepted for publication February 26, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Wallis T. Muhly, MD, Department of Anesthesiology and Critical Care, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104. Address e-mail to muhlyw@email.chop.edu.

Copyright © 2019 International Anesthesia Research Society
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