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Wondering how you guys feel about placing thoracic epidurals in patients who have empyemas and are undergoing decortications? Do you avoid completely? Do you go by white count/symptoms?
One, it just isn't that uncomfortable postop.
We do them with the scope, so nope not painful.A thoracotomy isn't painful postop?
Possibly. It depends on the situation and how badly the pt might need it. Respiratory cripple, yes. Robust pt, probably not.Would you guys proceed even if there was a white count?
I'd do a para vertebral with a white count. Patient is getting antibiotics. I might not place a PVB catheter but would certainly repeat in 12-24 hours.
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