• Rocco D'Andrea, Guido Gambetti, Lorenzo Querci, Beatrice Amodei, and Amedeo Bianchini.
• Policlinico Sant'Orsola-Malpighi, Unitá Operativa Anestesiologia e Terapia Intensiva Polivalente, Bologna, Itália. Electronic address: rocco.dandrea@gmail.com.
• Rev Bras Anestesiol. 2018 Nov 1; 68 (6): 650-652.

Background And ObjectivesUltrasound-guided thoracic paravertebral block is usually considered a good alternative to epidural thoracic for anesthesia and pain control in thoracic and breast surgery. Furthermore it has also been used during abdominal surgery lately, especially hepatic and renal surgery. However, its role is poorly defined in this context. The purpose of this report was to highlight the role of thoracic paravertebral block in providing effective anesthesia and analgesia during both the abdominal surgical intervention and pain control in post-operative period, avoiding possible complications which general anesthesia may arise, which are fairly common in patients with chronic obstructive pulmonary disease and similar comorbidities.Case ReportThe authors present a case of abdominal surgery successfully performed on a woman affected by severe chronic obstructive pulmonary disease requiring closed loop ileostomy repair performed with ultrasound guided thoracic paravertebral block without any complications.ConclusionsThoracic paravertebral block may be a safe anesthetic method for abdominal surgery in those patients who would undergo potential severe complications by using general anesthesia.Copyright © 2018 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

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