Thoracic Epidural Plus Continuous Brachial Plexus Analgesia for Pediatric Reconstructive Surgery: A Case Report

We present a case of an 11-years old child who underwent several plastic procedures for massive skin necrosis of the right forearm. Pain control was achieved combining a thoracic epidural and a continuous brachial plexus block. The patient was successfully weaned from chronic opiates. Possible advantages (i.e. improved graft perfusion, speeded opiates weaning) and disadvantages (i.e. local anesthetic toxicity) of this combined approach are briefly discussed.