TY - CHAP M1 - Book, Section TI - Paravertebral Anesthesia A1 - Melton, Steve A1 - Evans, Holly A1 - Klein, Stephen M. A2 - Longnecker, David E. A2 - Mackey, Sean C. A2 - Newman, Mark F. A2 - Sandberg, Warren S. A2 - Zapol, Warren M. Y1 - 2017 N1 - T2 - Anesthesiology, 3e AB - KEY POINTSA 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 repair.Benefits 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, and potentially, a decreased incidence of postthoracotomy and postmastectomy chronic pain.Potential adverse effects are rare and include pleural puncture, pneumothorax, epidural or intrathecal injection, and local anesthetic toxicity. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144119844 ER -