Thoracic Paravertebral Block Using Real-Time Ultrasound Guidance

We developed a technique for ultrasound-guided paravertebral block, which was subsequently applied in the clinical setting. An initial cadaver study was used to develop a technique that was used in the clinical setting on patients undergoing breast cancer surgery. Paravertebral catheters were correc...

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Veröffentlicht in:Anesthesia and analgesia 2010-01, Vol.110 (1), p.248-251
Hauptverfasser: Riain, Seosamh C. Ó, Donnell, Brian O., Cuffe, Tracy, Harmon, Dominic C., Fraher, John P., Shorten, George
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container_end_page 251
container_issue 1
container_start_page 248
container_title Anesthesia and analgesia
container_volume 110
creator Riain, Seosamh C. Ó
Donnell, Brian O.
Cuffe, Tracy
Harmon, Dominic C.
Fraher, John P.
Shorten, George
description We developed a technique for ultrasound-guided paravertebral block, which was subsequently applied in the clinical setting. An initial cadaver study was used to develop a technique that was used in the clinical setting on patients undergoing breast cancer surgery. Paravertebral catheters were correctly placed in the cadaveric trial in 8 of 10 attempts. In the clinical study, all blocked patients (n = 9) had evidence of thoracic wall sensory block and analgesia postoperatively. Determined by anatomical dissection, we have described the ultrasound features of the thoracic paravertebral space and performed clinically successful ultrasound-guided paravertebral block.
doi_str_mv 10.1213/ANE.0b013e3181c35906
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source MEDLINE; Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Anesthesia
Anesthesia, General
Anesthesia, Spinal - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Breast Neoplasms - surgery
Cadaver
Female
Humans
Male
Medical sciences
Middle Aged
Nerve Block
Pain, Postoperative - drug therapy
Patient Satisfaction
Spine - anatomy & histology
Spine - diagnostic imaging
Ultrasonography
title Thoracic Paravertebral Block Using Real-Time Ultrasound Guidance
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