{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:46:22Z","timestamp":1777045582491,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T00:00:00Z","timestamp":1394409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2014,5]]},"abstract":"Summary<\/jats:title>Introduction<\/jats:title>Thoracic epidurals (TE<\/jats:styled-content>) have been advocated as a superior method for controlling postoperative pain after repair of pectus excavatum with a N<\/jats:styled-content>uss procedure. However, three recent reports of permanent neurologic injury after the N<\/jats:styled-content>uss procedure with concurrent TE<\/jats:styled-content> analgesia have raised concerns about the safety of this combination. Paravertebral nerve blocks (PVNB<\/jats:styled-content>) are used successfully for analgesia of the chest, but no studies are available comparing TE<\/jats:styled-content> and PVNB<\/jats:styled-content> catheters for postoperative analgesia in this patient population. This study was conducted to compare the efficacy of PVNB<\/jats:styled-content> catheters with TE<\/jats:styled-content> catheters for postoperative analgesia in pediatric patients undergoing the N<\/jats:styled-content>uss procedure.<\/jats:p><\/jats:sec>Methods<\/jats:title>We retrospectively reviewed the medical records of 20 adolescent males undergoing a thoracoscopic N<\/jats:styled-content>uss procedure with either bilateral PVNB<\/jats:styled-content> catheters (n<\/jats:italic>\u00a0=\u00a010) or TE<\/jats:styled-content> catheter (n<\/jats:italic>\u00a0=\u00a010) and compared postoperative opiate consumption and pain scores.<\/jats:p><\/jats:sec>Results<\/jats:title>There were no statistically significant differences between the groups with respect to demographics, opiate consumption measured in morphine equivalents, and pain scores.<\/jats:p><\/jats:sec>Discussion<\/jats:title>In this small series, bilateral PVNB<\/jats:styled-content> catheters resulted in equivalent opioid consumption and pain scores when compared to TE<\/jats:styled-content> for postoperative pain management in pediatric patients undergoing the N<\/jats:styled-content>uss procedure. Large prospective studies are needed to further compare the efficacy, incidence of side effects, and complications of TE<\/jats:styled-content> and PVNB<\/jats:styled-content> catheters for postoperative analgesia in this pediatric population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12369","type":"journal-article","created":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T13:31:29Z","timestamp":1394458289000},"page":"516-520","source":"Crossref","is-referenced-by-count":94,"title":["A comparison of paravertebral nerve block catheters and thoracic epidural catheters for postoperative analgesia following the N<\/scp>uss procedure for pectus excavatum repair"],"prefix":"10.1111","volume":"24","author":[{"given":"Denise M.","family":"Hall Burton","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Children's Hospital of Pittsburgh of UPMC Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen R.","family":"Boretsky","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Boston Children's Hospital Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2009.03.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9793-4"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181effdce"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.05.050"},{"key":"e_1_2_8_6_1","first-page":"PH81","article-title":"Epidural and opioid analgesia following the Nuss procedure","volume":"17","author":"Walaszcyk M","year":"2011","journal-title":"Med Sci Monit"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31826918b6"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2007.02230.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02590.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1997.tb04722.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2010.03448.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199701000-00009"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00196-R"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31825d9f4b"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/ael020"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1992.tb02336.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/76.6.811"},{"key":"e_1_2_8_18_1","first-page":"543","article-title":"Continuous paravertebral block for post thoracotomy analgesia in children","volume":"38","author":"Shah R","year":"1997","journal-title":"J Cardiovasc Surg"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq378"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.221127"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12238"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e318172fa9e"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2006.11.001"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0002800103"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2001.02084-2.x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0265021507003146"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.12369","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.12369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T10:39:36Z","timestamp":1696156776000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.12369"}},"subtitle":[],"editor":[{"given":"Per\u2010Arne","family":"Lonnqvist","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2014,3,10]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1111\/pan.12369"],"URL":"https:\/\/doi.org\/10.1111\/pan.12369","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,10]]}}}