Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Early experience with continuous cervical paravertebral block using a stimulating catheter.

André P Boezaart1, Joe F De Beer, Mercia L Nell

  • 1Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. andre-boezaart@uiowa.edu

Regional Anesthesia and Pain Medicine
|October 14, 2003
PubMed
Summary

Continuous cervical paravertebral block (CCPVB) effectively managed acute pain after shoulder surgery, with high patient satisfaction and rapid motor function return. This technique shows promise for post-operative pain control.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Pterygopalatine Ganglion Within the Pterygopalatine Fossa: Quantitative Topography and Implications for Posteriorly Directed Percutaneous Access.

Clinical anatomy (New York, N.Y.)·2026
Same author

My half-century love affair with regional anesthesia: hard lessons from war to microanatomy to acute pain medicine and beyond.

Regional anesthesia and pain medicine·2026
Same author

Regional variation in fascicular architecture of the suprascapular nerve: implications for suprascapular nerve block techniques.

Regional anesthesia and pain medicine·2026
Same author

Understanding Vascular Risks in Lumbar Transforaminal Epidural Injections: Insights From Anatomy and Clinical Evidence.

Clinical anatomy (New York, N.Y.)·2026
Same author

Seeing is not believing: fascial plane blocks and the illusion of predictable spread.

Regional anesthesia and pain medicine·2026
Same author

Computer Modeling of the Influence of Surrounding Tissues on Electrical Current Delivered to the Median Nerve During Neuromodulation for Pain Relief.

Neuromodulation : journal of the International Neuromodulation Society·2025

Area of Science:

  • Anesthesiology
  • Pain Management
  • Regional Anesthesia

Background:

  • Continuous cervical paravertebral block (CCPVB) is an emerging technique for acute pain management.
  • Shoulder surgery often results in significant postoperative pain, necessitating effective analgesia.

Purpose of the Study:

  • To evaluate the early clinical experience with continuous cervical paravertebral block (CCPVB) using a stimulating catheter.
  • To assess the efficacy and safety of CCPVB for acute pain management following shoulder surgery.

Main Methods:

  • A prospective observational study involving 256 CCPVB procedures for various shoulder operations.
  • Ropivacaine (0.5% bolus, 0.2% infusion) was administered via a stimulating catheter.
  • Postoperative pain, patient satisfaction, and motor function were assessed at multiple time points up to 14 days.

Related Experiment Videos

Main Results:

  • Low average visual analog scale (VAS) pain scores for the first 48 hours (0.27-0.78 cm), increasing slightly at 60 hours (3.8 cm) and 14 days (3.5 cm).
  • High patient satisfaction (4.19-4.69/5) and rapid return of motor function (fingers within 24 hours, shoulder within 60 hours).
  • Complications included Horner's syndrome (40%), dyspnea (8%), and neck pain (22%), with no evidence of nerve damage.

Conclusions:

  • CCPVB is a viable option for managing acute pain after shoulder surgery, demonstrating good pain control and high patient satisfaction.
  • While complications like Horner's syndrome and neck pain were noted, the overall safety profile appears acceptable, with 91% of patients willing to undergo the procedure again.
  • Further research is warranted to optimize CCPVB techniques and minimize associated risks.