TY - CHAP M1 - Book, Section TI - Chapter 48. Paravertebral Anesthesia A1 - Evans, Holly A1 - Melton, Steve A1 - Klein, Stephen M. A2 - Longnecker, David E. A2 - Brown, David L. A2 - Newman, Mark F. A2 - Zapol, Warren M. Y1 - 2012 N1 - T2 - Anesthesiology, 2e AB - A paravertebral nerve block involves conduction block of the spinal nerve within the paravertebral space.Dense sensory, motor, and sympathetic block results.Unilateral or bilateral, thoracic, or lumbar segmental block can be obtained.Common indications include thoracic surgery, breast surgery, and hernia repairBenefits include diminished stress response to surgery, decreased opioid consumption, reduced opioid-related side effects (nausea, vomiting, sedation), and hemodynamic stability as well as preservation of pulmonary mechanics, lower extremity strength, and bladder function.Potential adverse effects are rare and include pleural puncture, pneumothorax, epidural or intrathecal injection, and local anesthetic toxicity. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/24 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56639187 ER -