Insertion of paravertebral block catheters intraoperatively to reduce incidence of block failure.
نویسنده
چکیده
Paravertebral block catheters are a recognized method of regional pain control after a thoractomy. We describe a technique of insertion with the belief that it provides a superior positioning of the paravertebral (extra-pleural) catheter resulting in a better distribution of the local anaesthetic and better pain control.
منابع مشابه
Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: an imaging study.
BACKGROUND During paravertebral block, the anterolateral limit of the paravertebral space, which consists of the pleura, should preferably not be perforated. Also it is possible that, during the block, the constant superior costotransverse ligament can be missed in the loss-of-resistance technique. We therefore aimed to develop a new technique for an ultrasound-guided puncture of the paraverteb...
متن کاملUnderutilization 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...
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Aims and Background : Patients undergoing abdominal surgery usually receive an epidural block for postoperative analgesia. However, when epidural analgesia is contraindicated or unwanted, various regional analgesia techniques are used in conjunction with systemic analgesia. The objective of this trial was to assess the effectiveness of paravertebral block in patients undergoing laparotomy. Mate...
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ABSTRACT Aim. We sought to review studies regarding interventions to prevent or reduce catheter-related bloodstream infections (CRBSIs). Background. CRBSIs are associated with peripheral and central intravenous catheters, including nontunneled central catheters, tunneled central catheters, peripherally inserted central venous catheters (PICC), totally implanted intravascular access devices (por...
متن کاملAnalgesia for thoracic surgery: the role of paravertebral block
An appropriate post operative analgesia after thoracotomies is mandatory to improve the patient's outcome, reduce complications rate, morbidity, hospital cost and length of stay. In this paper we review the evidences regarding the use of paravertebral block for thoracic surgery. In particular we examine the effect of paravertebral block compared to the other technique in four major issues: anal...
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ورودعنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 14 5 شماره
صفحات -
تاریخ انتشار 2012