Abstract
Acute Pain Management in a Child: A Case Report of 46-Days of Popliteal Sciatic Nerve Catheter
Highlights
With the development of ultrasound (US) in regional anesthesia (RA), the safety of peripheral nerve block catheters (PNBC) has been recently confirmed in pediatric anesthesia [1]
No infectious or neurological related complication to regional anesthesia was notified. This case demonstrates all the benefits that can be expected by long-term perineural catheter, even if it should be managed with great caution and after careful assessment of the risk-benefit balance
We report the safety and efficiency of a long-term peripheral nerve block catheter in context of repeated surgical procedures and perioperative pain management
Summary
With the development of ultrasound (US) in regional anesthesia (RA), the safety of peripheral nerve block catheters (PNBC) has been recently confirmed in pediatric anesthesia [1]. We present the case of a child who required the use of a PNBC over a long period of 46 days for perioperative pain management. An additional injection, ranging from 50 to 100 mg of Mepivacaïne 10 mg/mL (Carbocaïne®, B Braun, Melsungen, Deutschland) or 20 to 50 mg of Ropivacaïne (Concentration of 2 mg/mL or 3.3 mg/mL) through the PNBC, allowed to perform all of these invasive surgical procedures without general anesthesia requirement or use of morphinomimetic molecule. On the 119th day of treatment, the child reported symptoms of neuropathic pain in the form of electrical discharges These were well controlled by gabapentin (Pfizer, New York, USA). The PNBC remained in place for 46 days without infectious or neurological complication, with both continuous and intermittent use, for iterative anesthesia as well as for long-term perioperative analgesia
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