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Bilateral Thoracic Paravertebral Nerve Blocks for Open Gastrostomy in Patients with Amyotrophic Lateral Sclerosis
Arun Kalava1, Tilman J Chambers2, Jenna F Hoffman3
1Anesthesiology/Pain Medicine, Breakthru Acute Pain & Ketamine Clinic, Tampa, USA.
Abstract:
Most amyotrophic lateral sclerosis (ALS) patients require enteral feeding, thus necessitating placement of a gastrostomy tube (G-tube) for worsening dysphagia. This case report discusses the use of bilateral thoracic paravertebral nerve blocks (TPVB) in two patients with ALS to facilitate an open G-tube placement to avoid ventilatory assistance.
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