Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery

The use of a nerve stimulator for thoracic paravertebral block.

To the Editor:—I wish to congratulate Dr. Karmakar on his very thorough and informative review on paravertebral anesthesia and analgesia. 1Dr. Karmakar has overlooked one technique of paravertebral blockade that, in my opinion, has shown particular merit and is worthy of further investigation—the use of a nerve stimulator. To my knowledge, the use of a nerve stimulator as a guide to the perform...

Thoracic paravertebral nerve block.

Underutilization of paravertebral block in thoracic surgery.

a t i AIN AFTER thoracotomy and thoracoscopic surgery can cause patient distress, impair respiratory function, and deay recovery.1,2 Epidural analgesia is generally regarded as a tandard of care for patients undergoing thoracotomy,1,3 but pidural block is probably not warranted for less invasive horacic surgery. Sometimes, however, the extent of surgery is nclear until histopathology results ar...

Thoracic paravertebral block versus pectoral nerve block for analgesia after breast surgery

Paravertebral block; Pectoral nerve block; Breast surgery Abstract Background: Pectoral nerve block (Pecs) is a novel interfascial plane block which can provide analgesia after breast surgery while paravertebral block (PVB) is widely used for this purpose. We evaluated the difference between the two techniques in regard to morphine consumption and analgesic efficacy after modified radical maste...

Thoracic paravertebral block.

THORACIC paravertebral block (TPVB) is the technique of injecting local anesthetic adjacent to the thoracic vertebra close to where the spinal nerves emerge from the intervertebral foramina. This results in ipsilateral somatic and sympathetic nerve blockade in multiple contiguous thoracic dermatomes above and below the site of injection. It is effective in treating acute and chronic pain of uni...