RT Book, Section
A1 Vandepitte, Catherine
A1 Pintaric, Tatjana Stopar
A1 Gautier, Philippe E.
A2 Hadzic, Admir
SR Print(0)
ID 55905147
T1 Chapter 45. Sonography of Thoracic Paravertebral Space and Considerations for Ultrasound-Guided Thoracic Paravertebral Block
T2 Hadzic's Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-154963-9
LK accessanesthesiology.mhmedical.com/content.aspx?aid=55905147
RD 2024/04/19
AB Thoracic  paravertebral  block  (PVB)  is  a  well-established  technique  for  perioperative  analgesia  in  patients  having  thoracic,  chest  wall,  or  breast  surgery  or  for  pain  management  with  rib  fractures.  Ultrasound  guidance  can  be  used  to  help  identify  the  paravertebral  space  (PVS)  and  needle  placement,  and  to  monitor  the  spread  of  the  local  anesthetic.  Importantly,  interference  of  the  closely  related  osseous  structures  with  ultrasound  imaging  and  the  proximity  of  the  highly  vulnerable  neuraxial  structures  make  it  imperative  that  all  well-described  technique  precautions  are  exercised,  regardless  of  the  ultrasound  imaging.  In  this  chapter,  we  describe  general  principles  of  thoracic  PVB,  rather  than  propose  a  cookbook  with  specific  techniques  and  step-by-step  directions.  The  reader  is  advised  to  use  the  anatomic  information  and  techniques  presented  here  to  devise  an  approach  in  line  with  own  clinical  experience.