Real-time view of anesthetic solution spread during an ultrasound-guided thoracic paravertebral block

• DOI: 10.1177/0300891618763212
• Publication Date: 2018-03-21T10:53:01Z
• Authors: Domenico P Santon...; Annabella de Chiara; Marco Rispoli; Giovanni Musetti; Vanni Agnoletti
• Keywords: Epidural space; Cardiothoracic surgery

Thoracic paravertebral block is a technique for perioperative analgesia in patients undergoing thoracic, chest wall, or breast surgery, pain management with rib fractures, which can be performed without ultrasound guidance. The guidance used to identify the thoracic space, guide needle placement, monitor spread of local anesthetic (LA) solution, and reduce complications such as pleural puncture pneumothorax. possibility assessing real time using during offers numerous advantages, including immediate accurate identification extent nervous block, consequent reduction LA dose. real-time visualization may achieve good cover by administering at single level, thus reducing normally associated technique.This case report describes use ultrasound-guided (T) 4 5 levels, patient surgery analgesia. authors were able witness cranial diffusion T3-T4 time, measure increase space between costotransverse ligament pleura, an indication spread, T2-T3 T6-T7 levels.This first known literature direct viewing other than one administered open important scenarios improvement anesthesia technique.