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Ultrasound-guided thoracic paravertebral block
Techniques in Regional Anesthesia and Pain Management, 09/30/09
Karmakar M – Thoracic paravertebral block produces ipsilateral somatic and sympathetic nerve blockade in multiple contiguous thoracic dermatomes above and below the site of injection, which is effective in treating acute and chronic pain of unilateral origin from the chest or abdomen...Preliminary data suggest that it is feasible to perform US–guided thoracic paravertebral block and also observe the spread of the injected local anesthetic in real–time. This may translate into improved technical outcomes, higher success rates, and reduced needle–related complications. However, currently, there are limited data on US–guided thoracic paravertebral block, and future research to establish its role in clinical practice is warranted.
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