Abstract
Thoracotomy is a procedure that causes intense pain in the postoperative period. Several analgesia techniques are described to ease this pain, however, without showing a proven superiority of one over the other. A case of analgesia for thoracotomy with multi-perforated catheters and elastomeric pump is presented. Case report: a patient with proposed exploratory thoracotomy due to bronchial fracture by compressive chest trauma. The general anesthesia and thoracic epidural for analgesia were planned, however, the patient presented multiple diffuse dorsal skin lesions. General anesthesia and analgesia were then performed with the implantation of multi-perforated catheters and continuous infusion of local anesthetic through an elastomeric pump. It was concluded that the options for performing a good postoperative analgesia for thoracotomy are many and that new techniques are emerging and gaining space. The use of multi-perforated catheters can be considered an option for patients who have a contraindication to thoracic epidural.
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