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Pediatric thoracic paravertebral block: roentgenologic evidence for extensive dermatomal coverage
Boris Yanovski1, Marina Gat, Luis Gaitini
1Department of Anesthesiology, Bnai Zion Medical Center, Haifa 31048, Israel. boris.yanovski@b-zion.org.il
Journal of Clinical Anesthesia
|May 22, 2013
Summary
A 10-year-old boy received a thoracic paravertebral block for pain management. Post-procedure imaging confirmed widespread contrast spread along the thoracic nerves, indicating effective block coverage.
Area of Science:
- Anesthesiology
- Pain Management
- Regional Anesthesia
Background:
- Continuous thoracic paravertebral block (TPVB) is an effective regional anesthesia technique.
- Postoperative pain management in pediatric patients requires precise and safe methods.
Observation:
- A case report details a 10-year-old male undergoing a T10 TPVB for surgical pain.
- Contrast dye was administered via catheter post-procedure.
- Anteroposterior chest radiography was utilized for visualization.
Findings:
- Radiography demonstrated significant longitudinal spread of contrast.
- Contrast extended from the T4-T5 disc level to the T10-T11 disc level.
- Clear lateral spread was observed along the T5-T10 intercostal nerves.
Implications:
- This case highlights the efficacy of TPVB in pediatric postoperative pain control.
- Imaging confirmed the desired spread pattern for thoracic nerve blockade.
- Standard TPVB techniques can achieve extensive thoracic analgesia in children.
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