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Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Thoracic paravertebral block using real-time ultrasound guidance
Seosamh C O Riain1, Brian O Donnell, Tracy Cuffe
1Department of Anaesthesia, Mid-Western Regional Hospitals, Dooradoyle, Limerick, Ireland. seosamh.oriain@hse.ie
Anesthesia and Analgesia
|November 26, 2009
Summary
Ultrasound guidance enables successful paravertebral block for thoracic wall analgesia. This technique, developed via cadaver study, proved effective in patients undergoing breast cancer surgery.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Surgical Navigation
Background:
- Development of ultrasound-guided paravertebral block technique.
- Application of the technique in a clinical setting.
Purpose of the Study:
- To describe ultrasound features of the thoracic paravertebral space.
- To perform clinically successful ultrasound-guided paravertebral block.
Main Methods:
- Cadaver study for technique development.
- Clinical application in breast cancer surgery patients.
Main Results:
- Successful paravertebral catheter placement in 80% of cadaveric attempts.
- All clinical patients (n=9) achieved thoracic wall sensory block and postoperative analgesia.
Conclusions:
- Ultrasound provides clear anatomical visualization of the thoracic paravertebral space.
- Ultrasound-guided paravertebral block is a clinically effective method for analgesia.
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