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 ...

BACKGROUND Thoracic paravertebral block (TPVB) is a regional block technique increasingly used for the early management of post-thoracotomy pain. We compare three different postoperative analgesic approaches based on TPVB: anesthetist, anesthetist plus surgeon, and surgeon. MATERIALS AND METHODS We randomized 54 patients undergoing elective thoracotomy to three different postoperative analges...

conclusions the results of our study indicate that for patients who are scheduled for hip surgery, both continuous paravertebral and continuous epidural analgesia are effective in controlling postoperative pain but that the former has several crucial advantages. results mean arterial pressure was significantly lower in the epidural group compared with the paravertebral group from 2 hours after ...

A patient suffering with traumatic injuries including multiple rib fractures was excessively narcotized potentially impeding her recovery. A continuous infusion of local anaesthetic into the paravertebral space provided some opioid sparing effect, although the analgesic effect was less clear. The catheter was placed into the paravertebral space using a through-needle technique with ultrasound g...

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...

Background and objectives: Post-thoracotomy pain management should be based on a multimodal approach that includes continuous regional analgesia. The objective of this study was to compare the analgesic efficacy of two concentrations of bupivacaine (0.2 % and 0.3 %) through a paravertebral catheter, both group plus fentanyl 2 mcg/ml. Methods: We conducted a randomized double-blind clinical tria...

THORACIC paravertebral block has been shown to be effective for surgical anesthesia when the afferent pain input is predominantly unilateral from the chest. We describe a patient scheduled for right thoracotomy with combined paravertebral–general anesthesia who had abnormal responses to local anesthetic injection administered via the paravertebral catheter. The catheter subsequently was found t...

BACKGROUND AND OBJECTIVES We hypothesized that continuous right thoracic paravertebral block, following bolus initiation, decreases opioid consumption after right-lobe hepatectomy in patients receiving patient-controlled intravenous analgesia with sufentanil. METHODS Patients undergoing right-lobe hepatectomy with a right thoracic paravertebral catheter placed at T7 30 minutes before surgery ...

We have studied the efficacy of prolonged, continuous paravertebral infusion of bupivacaine for the management of post-thoracotomy pain in 22 infants with a median age of 1.5 weeks (range 1 day to 20.4 weeks). Immediately before chest closure, 0.25% bupivacaine 1.25 mg kg-1 was given into an extrapleural paravertebral catheter, inserted under direct vision. Subsequently, 0.125% bupivacaine with...

To compare the outcomes of thoracic epidural block with thoracic paravertebral block for thoracotomy in pediatric patients. A prospective double-blind study. 60 pediatric patients aged 1-24 months, ASA II, III scheduled for thoracotomy were randomly allocated into two groups. After induction of general anesthesia, thoracic epidural catheter was inserted in group E (epidural) patients and thorac...