conclusions patients receiving a cpvb in addition to tpvb after ldf reconstruction experienced similar pain to those receiving tpvb alone. a larger, randomized clinical trial is warranted to fully determine the benefits of using cpvb in addition to tpvb for this procedure. results a total of 22 patients were included in this study (11-cpvb and 11-tpvb). the mean nrs pain score of cpvb patients ...

Paravertebral blocks are becoming increasingly utilized for breast surgery with studies showing improved postoperative pain control, decreased need for opioids, and less nausea and vomiting. We describe the anesthetic management of an otherwise healthy woman who was 12 weeks pregnant presenting for treatment of her breast cancer. For patients undergoing breast mastectomy and reconstruction with...

Correspondence Post-thoracotomy epidural vs paravertebral analgesia Editor.-I read with interest the article by Richardson and colleagues on post-thoracotomy pain.' The authors compared thoracic paravertebral bupivacaine (bolus of 0. 5 6 followed by infusion of 0.5%) with thoracic epidural bupivacaine (bolus of 0.25% followed by infusion of 0.25%). Both groups received PCA morphine. The paraver...

132 Journal of Anaesthesiology Clinical Pharmacology | Volume 33 | Issue 1 | January-March 2017 of paravertebral and interpleural block in patients undergoing modified radical mastectomy. J Anaesthesiol Clin Pharmacol 2013;29:459‐64. 2. Sultan SS. Paravertebral block can attenuate cytokine response when it replaces general anesthesia for cancer breast surgeries. Saudi J Anaesth 2013;7:373‐7. 3....

BACKGROUND Several locoregional techniques have been described for the management of acute and chronic pain after breast surgery. The optimal technique should be easy to perform, reproducible, with little discomfort to the patient, little complications, allowing good control of acute pain and a decreased incidence of chronic pain, namely intercostobrachial neuralgia for being the most frequent ...

Here, we report the case of a 77-year-old male patient who was revealed to have an unsuspected case of gastric adenocarcinoma with paravertebral plasmacytoma following biopsy. Plasmacytoma may be classified into two main groups: Multiple myeloma and plasmacytoma without marrow involvement. It comprises isolated plasmacytoma of the bone and extramedullary plasmacytoma. Extramedullary plasmacytom...

BACKGROUND Video-assisted (VATS) lung lobectomy can be associated with stronger postoperative pain than is commonly believed. It is generally accepted to introduce multimodal analgaesic strategies based on regional blockade, opioids and non-steroidal anti-inflammatory drugs. However, there is still no consensus regarding the optimal regional technique. The aim of this study was to compare the a...