Thoracic Paravertebral Block for Perioperative Analgesia in the Surgical Management of Left Ventricular Assist Device Infections

被引:3
|
作者
Okitsu, Kenta [1 ]
Iritakenishi, Takeshi [1 ]
Shibata, Sho Carl [1 ]
Domae, Keitaro [2 ]
Toda, Koichi [2 ]
Sawa, Yoshiki [2 ]
Fujino, Yuji [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Anesthesiol & Intens Care, 2-2 Yamadaoka, Suita, Osaka 5658565, Japan
[2] Osaka Univ, Grad Sch Med, Dept Cardiovasc Surg, Osaka, Japan
关键词
paravertebral block; LVAD infection; PAIN;
D O I
10.1097/MAT.0000000000000414
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Left ventricular assist device (LVAD) implantation is increasingly being used as a bridging therapy to heart transplantation. Infection is a major complication in patients with implanted LVADs, and it is associated with short- and long-term mortality. Surgical management for infection control is sometimes necessary; however, providing pain management during the surgical procedures is challenging. Anesthesiologists may be able to contribute to better pain management during surgical interventions to treat LVAD infections. We successfully performed a continuous thoracic paravertebral block (TPVB) for perioperative pain relief during invasive surgical procedures on three patients with infections of implanted LVADs. Despite several limitations that need to be addressed in the future, TPVB was able to relieve surgical pain in these patients without obvious complications.
引用
收藏
页码:E31 / E34
页数:4
相关论文
共 50 条
  • [21] Management of Bloodstream Infections in Left Ventricular Assist Device Recipients: To Suppress, or Not to Suppress?
    Garrigos, Zerelda Esquer
    Jandhyala, Deeksha
    Vijayvargiya, Prakhar
    Almeida, Natalia E. Castillo
    Gurram, Pooja
    Campioli, Cristina G. Corsini
    Stulak, John M.
    Rizza, Stacey A.
    O'Horo, John C.
    DeSimone, Daniel C.
    Baddour, Larry M.
    Sohail, M. Rizwan
    OPEN FORUM INFECTIOUS DISEASES, 2021, 8 (01):
  • [22] COVID-19 Complicating Perioperative Management of Left Ventricular Assist Device Implantation
    Belfort, D. S.
    Biselli, B.
    Brandao, S. M.
    Gomes, B. R.
    Lira, M. S.
    Dantas, R. C.
    Aragao, C. A.
    Galas, F. R.
    Gaiotto, F. A.
    Jatene, F. B.
    Bocchi, E. A.
    Ferreira, S. M.
    JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2021, 40 (04): : S526 - S526
  • [23] Perioperative Management of Pheochromocytoma Resection in a Patient with a Continuous Flow left Ventricular Assist Device
    Albulushi, Arif
    Zolty, Ronald
    Lowes, Brian
    Duhacheck-Stapleman, Amy L.
    Sandler, Tal
    Sullivan, James N.
    Stoller, Douglas
    JOURNAL OF THE SAUDI HEART ASSOCIATION, 2020, 32 (02) : 233 - 235
  • [24] Impact of perioperative right ventricular assist device on ventricular arrhythmias in patients with continuous flow left ventricular assist device
    Dhawan, R.
    Selim, A.
    Jhand, A.
    Lundgren, S.
    Zolty, R.
    Khan, F.
    EUROPEAN HEART JOURNAL, 2020, 41 : 1096 - 1096
  • [25] Mycobacterium chimaera left ventricular assist device infections
    Balsam, Leora B.
    Louie, Eddie
    Hill, Fred
    Levine, Jamie
    Phillips, Michael S.
    JOURNAL OF CARDIAC SURGERY, 2017, 32 (06) : 402 - 404
  • [26] Left Ventricular Assist Device-Associated Infections
    Califano, Sophia
    Pagani, Francis D.
    Malani, Preeti N.
    INFECTIOUS DISEASE CLINICS OF NORTH AMERICA, 2012, 26 (01) : 77 - +
  • [27] Left Ventricular Assist Device Infections: A Systematic Review
    O'Horo, John C.
    Abu Saleh, Omar M.
    Stulak, John M.
    Wilhelm, Mark P.
    Baddour, Larry M.
    Sohail, M. Rizwan
    ASAIO JOURNAL, 2018, 64 (03) : 287 - 294
  • [28] Nosocomial infections in left ventricular assist device recipients
    Malani, PN
    Dyke, DBS
    Pagani, FD
    Chenoweth, CE
    CLINICAL INFECTIOUS DISEASES, 2002, 34 (10) : 1295 - 1300
  • [29] Preoperative Evaluation and Perioperative Management of Right Ventricular Failure After Left Ventricular Assist Device Implantation
    Marzec, Lucas N.
    Ambardekar, Amrut V.
    SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2013, 17 (04) : 249 - 261
  • [30] Predictors of perioperative bleeding in left ventricular assist device implantation
    Elzeneini, Mohammed
    Mahmoud, Ahmad
    Elsayed, Abdelrahman H.
    Taha, Yasmeen
    Meece, Lauren E.
    Al-Ani, Mohammad
    Jeng, Eric I.
    Arnaoutakis, George J.
    Vilaro, Juan R.
    Parker, Alex M.
    Aranda Jr, Juan
    Ahmed, Mustafa M.
    AMERICAN HEART JOURNAL PLUS: CARDIOLOGY RESEARCH AND PRACTICE, 2021, 2