The use of continuous paravertebral analgesia was studied in 15 childr
en with a mean age of 9.8 years (2-16 years). Nine patients received p
re-emptive and postoperative paravertebral analgesia while six childre
n studied earlier in the series received only post operative paraverte
bral analgesia. Excellent pain relief was attained in all patients, as
assessed by the graded pictures of facial expression or visual analog
ue pain scores and morphine requirements There were no pulmonary compl
ications and no complications related to the continuous paravertebral
infusion of bupivacaine. We conclude that continuous paravertebral blo
ck is an effective and safe method for post thoracotomy pain relief in
children.