Ultrasound-guided continuous thoracic paravertebral block alleviates postoperative delirium in elderly patients undergoing esophagectomy

Paravertebral block versus thoracic epidural for patients undergoing thoracotomy.

BACKGROUND Operations on structures in the chest (usually the lungs) involve cutting between the ribs (thoracotomy). Severe post-thoracotomy pain can result from pleural (lung lining) and muscular damage, costovertebral joint (ribcage) disruption and intercostal nerve (nerves that run along the ribs) damage during surgery. Poor pain relief after surgery can impede recovery and increase the risk...

Report of a case of ultrasound guided continuous thoracic paravertebral block for post thoracotomy analgesia in a child.

A six year old female child, weighing 13 kg was posted for patent ductus arteriosus ligation by a left lateral thoracotomy approach. The planned anesthetic was general anesthesia and placement of a continuous paravertebral block at the end of surgery for post operative analgesia. The patient was induced with propofol 30 mg i.v, fentanyl citrate 25 μg i.v and atracurium 7 mg i.v to facilitate en...

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...

Different Approaches to Ultrasound-guided Thoracic Paravertebral Block: An Illustrated Review.

Given the fast development and increasing clinical relevance of ultrasound guidance for thoracic paravertebral blockade, this review article strives (1) to provide comprehensive information on thoracic paravertebral space anatomy, tailored to the needs of a regional anesthesia practitioner, (2) to interpret ultrasound images of the thoracic paravertebral space using cross-sectional anatomical i...

Thoracic paravertebral nerve block.