Thoracoscopic visualization of a misdirected paravertebral catheter

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...

Continuous paravertebral block using a thoracoscopic catheter-insertion technique for postoperative pain after thoracotomy: a retrospective case-control study

BACKGROUND Thoracic epidural analgesia (EDA) is the gold standard for pain control after thoracotomy. However, because of its severe side effects, it is contraindicated in patients taking anticoagulant or antiplatelet drugs. In addition, some patients' anatomy can make epidural catheter insertion challenging. We therefore investigated the safety and efficacy of paravertebral block (PVB) using a...

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 ...

Breakage and retention of thoracic paravertebral catheter: a case report

Background Paravertebral catheters are generally inserted and removed without complications. However, catheter breakage occurs rarely. This is the first report describing breakage of a thoracic paravertebral catheter and retention of the catheter fragment within the patient. Case presentation A 65-year-old female patient complained of an unusual sensation in her back during postoperative chem...

Intrapleural migration of paravertebral catheter in spite of ultrasound guidance