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

Chen, Kelly Y. MD*; Abhold, Eric MD*; Shin, John H. MD; Sabouri, A. Sassan MD*

doi: 10.1213/XAA.0000000000001070
Case Reports
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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.

From the Departments of *Anesthesia, Critical Care, and Pain Medicine

Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts.

Accepted for publication June 17, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Kelly Y. Chen, MD, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, 55 Fruit St, Gray-Bigelow 444, Boston, MA 02114. Address e-mail to kychen1@mgh.harvard.edu.

Copyright © 2019 International Anesthesia Research Society
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