Paravertebral blockade in thoracoscopic surgery

Paravertebral blockade in thoracoscopic surgery.

left ventricular outflow tract obstruction. In patients with predominant aortic regurgitation, especially those with bicuspid aortic valve or rheumatic fever associated with a geometric mismatch between the aortic and pulmonary valve due to dilated aortic annulus, the Ross procedure should be employed more selectively, and technical modifications that aim to prevent future annular and root dila...

Video-Assisted Thoracoscopic Surgery for Drainage of Dorsal Paravertebral Abscess

Tuberculosis of the spine is the second most common extrapulmonary presentation of the disease and is associated with significant morbidity. The drainage of the abscess may be needed in patients who fail to respond to medical treatment and present with a significant or deteriorating neurologic status. The dorsal spine gives a unique opportunity for decompression alone as it is supported by the ...

Continuous Paravertebral Nerve Blockade for Postoperative Analgesia after Video-Assisted Thoracoscopic Surgery and Chemical Pleurodesis in Children-A Case Series

Video-assisted thoracoscopic surgery (VATS), apical blebectomy and chemical pleurodesis are often combined to prevent recurrence of spontaneous pneumothorax [1,2]. Postoperative pain arising from above procedures can be severe, leading to increased length of stay [2,3]. Effective analgesia in the immediate post-operative period is necessary for optimal recovery, and satisfactory postoperative p...

Breast Surgery Using Thoracic Paravertebral Blockade and Sedation Alone

Introduction. Thoracic paravertebral block (TPVB) provides superior analgesia for breast surgery when used in conjunction with general anesthesia (GA). Although TPVB and GA are often combined, for some patients GA is either contraindicated or undesirable. We present a series of 28 patients who received a TPVB with sedation alone for breast cancer surgery. Methods. A target controlled infusion o...

Impact of continuous paravertebral blockade infusion type on pain management over time for video-assisted thoracoscopic surgery: a pilot study