PMC3772751_01
Drugs used for pain control during the stay in hospice in the patient presented.. Note: Blue line stands for fentanyl SC pump, morphine rescue doses are mapped out as green pointers, and bupivacaine paravertebral block is marked pink.. Abbreviations: IV, intravenous; PVB, paravertebral block; SC, subcutaneous; VRS, verbal rating scale; h, hours.
ott-6-1187Fig1.jpg
PMC3772751_01_ott-6-1187Fig1.jpg
f1-ott-6-1187
Within 2 days, this improved the patient's mental state incredibly but had a minor effect on the pain relief, despite repeated MF rescue doses (Figure 1).
Doses of fentanyl in SC constant infusion and bupivacaine boluses administered paravertebrally to the patient.. Notes: Blue line stands for fentanyl SC pump, bupivacaine PVB boluses are marked pink, and bupivacaine PVB constant infusion is marked orange. Bupivacaine PVB rescue bolus is marked white with a purple frame.. Abbreviations: PVB, paravertebral block; SC, subcutaneous; h, hours.
ott-6-1187Fig2.jpg
PMC3772751_01_ott-6-1187Fig2.jpg
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Then, LA boluses were reintroduced with an excellent effect (Figures 2 and 3).
Total bupivacaine serum levels following its administration in boluses and in constant paravertebral infusion (ng   mL-1) in the presented case.. Notes: Red line shows bupivacaine serum concentrations, bupivacaine PVB constant infusion is marked orange, and pink "syringes" stand for bupivacaine PVB boluses. Bupivacaine PVB rescue bolus is marked white with a purple frame.. Abbreviations: PVB, paravertebral block; VRS, verbal rating scale; h, hours.
ott-6-1187Fig3.jpg
PMC3772751_01_ott-6-1187Fig3.jpg
f3-ott-6-1187
Then, LA boluses were reintroduced with an excellent effect (Figures 2 and 3).