RT Book, Section
A1 Karmakar, Manoj K.
A1 Soh, Edmund
A1 Chee, Victor
A1 Sheah, Kenneth
SR Print(0)
ID 1146855033
T1 Sonoanatomy Relevant for Ultrasound-Guided Thoracic Paravertebral Block
T2 Atlas of Sonoanatomy for Regional Anesthesia and Pain Medicine
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071789349
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146855033
RD 2024/04/20
AB Thoracic  paravertebral  block  (TPVB)  is  the  technique  of  injecting  local  anesthetic  alongside  the  thoracic  vertebral  body  close  to  where  the  spinal  nerves  emerge  from  the  intervertebral  foramen.  This  produces  unilateral  (ipsilateral),  segmental,  somatic,  and  sympathetic  nerve  blockade  in  multiple  contiguous  thoracic  dermatomes,1,2  which  is  effective  for  managing  acute  and  chronic  pain  of  unilateral  origin  from  the  thorax  and  abdomen.2  TPVB  can  also  be  used  for  surgical  anesthesia  in  patients  undergoing  inguinal  herniorrhaphy3  and  breast  surgery4–6  with  improved  postoperative  outcomes.2,5  TPVB  is  traditionally  performed  using  surface  anatomical  landmarks.2  Recently  there  has  been  an  increase  in  interest  in  the  use  of  ultrasound  for  peripheral  nerve  blocks,7–9  including  TPVB.10–18  However,  published  data  on  ultrasound-guided  (USG)  TPVB  are  limited.10–20  This  chapter  describes  the  sonoanatomy  relevant  for  USG  TPVB.