Recent Advances in Anesthesiology

Recent Advances in Anesthesiology

Volume: 1

Anesthesia: Essential Clinical Updates for Practitioners – Regional, Ultrasound, Coagulation, Obstetrics, and Pediatrics

This book provides a quick update on key aspects of current anesthesia practice. Book chapters are written in a concise manner to enable readers (anesthesia providers and medical students) to quickly ...
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Paravertebral Block

Pp. 47-56 (10)

Roy Greengrass

Abstract

The paravertebral nerve block (PVB) allows the blockade of mixed nerve roots after they leave the intervertebral foramina. This provides anesthesia and analgesia for a variety of procedures and conditions including: breast surgery, thoracic surgery (thoracotomies, thoracoscopies, VATS), multiple rib fractures, herniorrhaphies, abdominal wall procedures; and to provide analgesia and anesthesia in the presence of severe scoliosis, kyphosis or Harrington rods; and also to treat chronic pain syndromes. The principal contraindications remaon infection, major coagulopathy, neuropathy of unknown origin and patient refusal. The use of catheters permits a longer duration of therapy. Complications include possible pneumothorax, intraneural injection, epidural spread and local anesthetic toxicity. This is a very useful technique to master.

Keywords:

Breast surgery, Herniorrhaphies, Paravertebral catheter, Paravertebral nerve block (PVB), Rib fractures, Thoracoscopies, Thoracotomy, VATS.

Affiliation:

Mayo Clinic, Jacksonville, Florida, USA.