Your Messages Inbox
Most Viewed Abstracts
1. Report Shows Shift in Starting Salaries for Physicians 2. Recommendations on the use of 18F-FDG PET in oncology 3. Use of Antiemetic Agents in Acute Gastroenteritis 4. Gene expression signatures, clinicopathological features, and individualized therapy in breast cancer 5. AHA Guidelines on Cardiac CT for Assessing Coronary Artery Disease
Your Article Summary
See Latest ArticlesUltrasound-Guided Paravertebral Block Using an Intercostal Approach
Anesthesia & Analgesia, 10/22/09
Ben–Ari A et al. – The authors describe an ultrasound–guided technique of continuous bilateral paravertebral block using an intercostal approach in 12 patients undergoing elective abdominal surgery. Postoperatively, each of the patient’s paravertebral catheters was bolused with 10 mL lidocaine (15 mg/mL), and each of the patient’s catheters was infused with 0.2% ropivacaine at 10 mL/h. Using a pinprick test, the median number of dermatomes blocked after the initial bolus was 5 (interquartile range, 4–6), and 23 of 24 catheters produced a local anesthetic block. The median verbal pain score on postoperative day 1 was 5.5 (interquartile range, 3.5–6), and median dose of IV hydromorphone consumed during the first 24 h after surgery was 1.9 mg (interquartile range, 0.7–5.05). All catheters were removed within 72 h after surgery.
Paul E. Bigeleisen, 10/23/09
| We have finished analysis of preliminary data comparing an ultrasound guided paravertebral block in patients undergoing abdominal surgery. The primary end point was >3 dermatomes anesthetized bilaterally. We followed 13 patients who had bilateral paravertebral blocks (total of 26 paravertebral blocks). We showed that the ultrasound approach reliably blocked at least 3 dermatomes bilaterally. More work is needed to establish ultrasound guided paravertebral block as a reproducible technique to provide analgesia after abdominal surgery. Previous studies have focused on unilateral paravertebral block for thoracic surgery. |
Related Articles
Ultrasound and pain in children: A review
European Journal of Pain, 11/17/09
Relevance Score: 88%
Ultrasound and peripheral blocks for acute and chronic pain: A review
European Journal of Pain, 11/17/09
Relevance Score: 88%
Ultrasound guidance for peripheral nerve blockade
Cochrane Reviews, 10/12/09
Relevance Score: 88%
Ultrasound and chronic pain: Innovative approaches
European Journal of Pain, 11/17/09
Relevance Score: 87%
Ultrasound and peripheral blocks for acute and chronic pain: A review
European Journal of Pain, 11/13/09
Relevance Score: 87%
Today in Anesthesia...keeping you current
Receive free subspecialty "5-minute updates" via email
Obstetric analgesia: a comparison of patient-controlled meperidine, remifentanil, and fentanyl in labour
British Journal of Anesthesia, 12/16/09
Lessons Learned with Extended-release Epidural Morphine after Total Hip Arthroplasty
Clinical Orthopedics and Related Research, 12/16/09
Anesthetic Management Of A Rare Case Of Extra Adrenal Pheochromocytoma- A Case Report
The Internet Journal of Anesthesiology, 12/16/09
Today in Radiology...keeping you current
Receive free subspecialty "5-minute updates" via email
Update on the everolimus-eluting coronary stent system: results and implications from the SPIRIT clinical trial program
Vascular Health and Risk Management, 12/16/09
Prospective Validation of the Clinical Usefulness of Reflex Fluorescence In Situ Hybridization Assay in Patients With Atypical Cytology for the Detection of Urothelial Carcinoma of the Bladder
The Journal of Urology, 12/16/09
Brain Activity Measured by Functional Magnetic Resonance Imaging is Related to Patient Reported Urgency Urinary Incontinence Severity
The Journal of Urology, 12/16/09
Sponsor
Article Search
Sponsor
Sponsor