• A&A practice · Oct 2018

    Case Reports

    Percutaneous Radiofrequency Ablation of Pulmonary Metastasis and Thoracic Paravertebral Block Under Computed Tomographic Scan Guidance: A Case Report.

    • Laura Ruscio, Olivier Planche, Paul Zetlaoui, and Dan Benhamou.
    • From the Service d'Anesthésie-Réanimation, Hôpital de Bicêtre, AP-HP, Le Kremlin Bicêtre, France.
    • A A Pract. 2018 Oct 15; 11 (8): 213-215.

    AbstractPain during and after pulmonary percutaneous radiofrequency ablation (RFA) may be severe enough to require opioids. Thoracic paravertebral block (TPVB) is a regional anesthetic technique that can relieve pain during and after abdominal or thoracic painful procedures. We report the use of TPVB to relieve postprocedural pain in a 50-year-old woman after RFA of lung metastasis. The TPVB was performed under computed tomographic guidance by the anesthesiologist. The patient was pain free (rest and mobilization) during the first postoperative 36 hours. TPVB may represent an easy, safe, and effective strategy to prevent or treat postoperative pain after pulmonary RFA.

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