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Intraoperative insertion of paravertebral catheter for postoperative analgesia in retroperitoneal aortic aneurysm repair |
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| Authors: | Samuel Jessula Christine R. Herman Kwesi Kwofie Min S. Lee Matthew Smith Patrick Casey |
| Affiliation: | 1. Division of General Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada;2. Division of Vascular Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada;3. Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada;4. Department of Anesthesiology, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Nova Scotia, Canada |
| Abstract: | Paravertebral catheters are a well-established analgesic modality in thoracic surgery but have not been described in abdominal aortic surgery. We describe a simple, safe, and effective technique of paravertebral catheter insertion by the operative surgeon after a retroperitoneal abdominal aortic aneurysm repair. Once the aneurysm repair is complete, an extrapleural plane between the parietal pleura and the twelfth rib is created through blunt dissection. A catheter is advanced into the space percutaneously under direct vision, and a continuous infusion of local anesthetic is administered. Paravertebral catheters typically remain in place for 3 to 5 days and provide excellent postoperative non-narcotic analgesia. |
| Keywords: | Correspondence: Samuel Jessula MDCM Rm 849 Department of General Surgery Dalhousie University 1276 S Park St Halifax NS B3H 2Y9 Canada |
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