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Thoracic Paravertebral Block (Ultrasound Guidance Technique)

  • Yasuyuki ShibataEmail author
Chapter

Abstract

Thoracic paravertebral block provides adequate unilateral multi-segmental somatic and sympathetic nerve blockade for thoracic surgery and abdominal surgery. Although this block is easy to perform using a loss-of-resistance technique or a predetermined distance technique, there is a risk of inadvertent pleural or pulmonary puncture. The use of ultrasound can reduce the complication rate of this block and can enable us ascertain if the local anesthetic spread into the paravertebral space.

Keywords

Thoracic paravertebral block Internal intercostal membrane Parietal pleura 

References

  1. 1.
    Shibata Y, Nishiwaki K. Ultrasound-guided intercostal approach to thoracic paravertebral block. Anesth Analg. 2009;109:996–7.CrossRefGoogle Scholar
  2. 2.
    Pace MM, Sharma B, Anderson-Dam J, Fleischmann K, Warren L, Stefanovich P. Ultrasound-guided thoracic paravertebral blockade: a retrospective study of the incidence of complications. Anesth Analg. 2016;122(4):1186–91.CrossRefGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Faculty of Department of AnesthesiologyNagoya University HospitalNagoyaJapan

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