1.
A A Pract
; 13(8): 292-294, 2019 Oct 15.
Artigo
em Inglês
| MEDLINE
| ID: mdl-31265441
RESUMO
We present the case of a 51-year-old man with a history of recurrent lung cancer after left upper lobectomy who presented for an elective completion pneumonectomy via a bilateral anterior thoracotomy incision. At the completion of surgery, bilateral multilevel intercostal infiltration was performed with liposomal bupivacaine. Due to poorly controlled postoperative pain after extubation, a thoracic epidural was placed in the intensive care unit. An opioid-only infusion was started and transitioned to a local anesthetic-based infusion on postoperative day 2. This case report represents a novel stepwise approach of thoracic epidural management after surgical infiltration of liposomal bupivacaine.
Assuntos
Analgesia Epidural , Analgésicos Opioides/administração & dosagem , Anestésicos Locais/administração & dosagem , Bupivacaína/administração & dosagem , Dor Pós-Operatória/tratamento farmacológico , Analgesia Controlada pelo Paciente , Fentanila/administração & dosagem , Humanos , Hidromorfona/administração & dosagem , Masculino , Pessoa de Meia-Idade , Vértebras Torácicas
2.
Dermatol Surg
; 43 Suppl 1: S99-S102, 2017 05.
Artigo
em Inglês
| MEDLINE
| ID: mdl-28166094