| Title | Ultrasound-guided paravertebral block using an intercostal approach. | | Author(s) | Ben-Ari A, Moreno M, Chelly JE, Bigeleisen PE | | Institution | Department of Anesthesiology, University of PittsburghMedical Center, Pittsburgh, Pennsylvania, USA. | | Source | Anesth Analg 2009 Nov; 109(5):1691-4. | | MeSH | Abdomen
Adult
Aged
Aged, 80 and over
Amides
Analgesia, Patient-Controlled
Analgesics, Opioid
Anesthetics, Combined
Anesthetics, Local
Catheterization
Catheters, Indwelling
Humans
Hydromorphone
Intercostal Muscles
Lidocaine
Middle Aged
Nerve Block
Pain Measurement
Pain Threshold
Pain, Postoperative
Retrospective Studies
Ribs
Surgical Procedures, Elective
Time Factors
Treatment Outcome
Ultrasonography, Interventional
Young Adult
| | Abstract | We 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. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19843811 |
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