Treating thoracotomy pain with continuous paravertebral catheter and single shot, long acting chest pain blocks
Thoracic surgery can cause significant pain for patients postoperatively.
This pain can impede recovery and cause respiratory complications.
There is abundant data comparing paravertebral catheters with traditional thoracic epidural catheters for pain control after thoracic surgery; paravertebral catheters have equal efficacy with reduced complications (1).
There are case reports about serratus anterior plane blocks used for thoracotomy pain (2-3).
Very little data is available regarding pectoralis nerve blocks for chest wall and thoracotomy pain.
We describe a case of paravertebral catheter placement, serratus anterior plane, and pectoralis nerve blocks with adjunctive medications for thoracic surgery pain.