• Anesthesia and analgesia · Jan 2010

    Thoracic paravertebral block using real-time ultrasound guidance.

    • Seosamh C O Riain, Brian O Donnell, Tracy Cuffe, Dominic C Harmon, John P Fraher, and George Shorten.
    • Department of Anaesthesia, Mid-Western Regional Hospitals, Dooradoyle, Limerick, Ireland. seosamh.oriain@hse.ie
    • Anesth. Analg. 2010 Jan 1;110(1):248-51.

    BackgroundWe developed a technique for ultrasound-guided paravertebral block, which was subsequently applied in the clinical setting.MethodsAn initial cadaver study was used to develop a technique that was used in the clinical setting on patients undergoing breast cancer surgery.ResultsParavertebral catheters were correctly placed in the cadaveric trial in 8 of 10 attempts. In the clinical study, all blocked patients (n = 9) had evidence of thoracic wall sensory block and analgesia postoperatively.ConclusionsDetermined by anatomical dissection, we have described the ultrasound features of the thoracic paravertebral space and performed clinically successful ultrasound-guided paravertebral block.

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