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...

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...

Background and Aims Thoracic paravertebral block (TPB) is one of the effective methods for management of post-operative pain in thoracic surgeries. The aim of the study was to evaluate effectiveness of addition of dexmedetomidine to paravertebral block with bupivacaine in improving the postoperative pain relief and pulmonary functions in patients undergoing thoracic surgeries. Methods A prosp...

An association between intercostal nerve block and the development of a total spinal is rare. Usually, subarachnoid injection is considered to have followed intraneural placement or inadvertent entrance into a dural cuff extending beyond an intervertebral foramen. We report a patient that followed injection of local anaesthetic into a paravertebral catheter sited at surgery in the thoracic para...

STUDY OBJECTIVE To evaluate the efficacy of a continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with unilateral multiple fractured ribs (MFR). DESIGN Prospective nonrandomized case series. SETTING Multidisciplinary tertiary hospital. PATIENTS Fifteen patients with unilateral MFR. INTERVENTIONS Insertion of a catheter into the thoracic paravertebra...

We encountered cardiac arrest induced by 0.375 % ropivacaine 7 ml administered via a catheter for continuous thoracic paravertebral block (TPVB) in a 6-year-old female who underwent pacemaker implantation for sick sinus syndrome (SSS). She was successfully resuscitated with adrenaline and lipid emulsion. Plasma concentration of ropivacaine was 5.2 μg/ml, suggesting intravascular administration ...

Radical mastectomy is routinely performed under general anaesthesia, but geriatric patients with compromised cardio-pulmonary function are at increased risk of morbidity and mortality. We report successful perioperative management of radical mastectomy with sole paravertebral block in a 92 years old female with compromised cardio-pulmonary function and kyphoscoliotic spine. Single needle thorac...

INTRODUCTION Open thoracotomy is one of the surgical procedures that is still very painful in the postoperative period, which, in this type of surgery can have on respiratory function and subsequent recovery of the patient. PATIENTS AND METHOD The aim of the study is to assess continuous paravertebral thoracic block as an analgesic technique in thoracotomy. A total of 139 patients undergoing ...

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.

The goal of this study was to investigate the effect of individualized chemotherapy delivered via percutaneous catheter drainage on paravertebral abscesses in spinal tuberculosis (TB). Data from 48 patients with spinal TB with paravertebral abscesses who received individualized chemotherapy via computed tomography-guided catheterization between 2009 and 2012 were retrospectively analyzed. The p...