Aaron A. Berg*, D. Immen, R. Fridman and J. Hutchins
A 32-year-old woman with cystic fibrosis pregnant with twins presented at 28 weeks with an acute rib injury sustained during a vigorous coughing episode. Two paravertebral catheters were placed to manage the severe pain associated with her four times daily vest treatments. She received a continuous ropivacaine infusion with twice daily boluses which resulted in a significant decrease in daily opioid use. The catheters remained in place for 32 days until she spontaneously went into labor, upon which they were removed and she had an uneventful cesarean section.
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