Paravertebral nerve block
Ultrasound Guided Regional Anesthesia and Interventional Pain
Thoracic paravertebral space is a triangular or wedge shaped space running the length of the thoracic vertebral column bilaterally
Failed block
Hypotension
Vascular puncture
Pleural puncture
Pneumothorax
“Ultrasound guided multilevel paravertebral block (PVB) with total intravenous anesthesia provides reliable anesthesia, improves postoperative analgesia.”
“A transverse in-line ultrasound-guided technique improves the feasibility of placing paravertebral nerve block (PVNB) catheters using in a wide range of pediatric patients.”
“Thoracic epidural, thoracic paravertebral, and intercostal blocks are the top choices for patients with multiple fracture ribs (MFR) and they are of equivalent efficacy. Each has unique advantages and disadvantages. Our preference tends to be the thoracic paravertebral approach.”
“30-year-old woman with chronic hip pain secondary to avascular necrosis. She received preoperative L1-L2 paravertebral block for postoperative pain control after arthroscopic hip surgery.”
“Epidural anesthesia and paravertebral block, respectively, may prevent persistent post operative pain (PPP) after thoracotomy and breast cancer surgery in about one out of every four to five patients treated.”
“Neurolytic paravertebral block can be a useful technique in patients with intractable cancer pain.”
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