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Case Reports
Ultrasound-Guided Midpoint Transverse Process to Pleura Nerve Block for Medical Thoracoscopy: A Case Report.
- Alessia Pedoto, Or Kalchiem-Dekel, Stephanie Baselice, Bryan C Husta, and Meg A Rosenblatt.
- From the Department of Anesthesiology and Critical Care Medicine.
- A A Pract. 2020 Jun 1; 14 (8): e01240.
AbstractWe performed the midpoint transverse process to pleura (MTP) block in a patient with a recurrent pleural effusion requiring medical thoracoscopy, drainage of pleural effusion, talc poudrage, and placement of tunneled pleural catheter under sedation while in the left lateral decubitus position. Forty milliliters of a combination of bupivacaine hydrochloride and lidocaine, with dexamethasone and clonidine as adjuvants, was injected at the T6 level under ultrasound guidance with satisfactory intra- and postoperative analgesia.
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