Approach affects injectate spread in ultrasound-guided thoracic paravertebral block: a cadaveric trial.

@article{Taketa2017ApproachAI,
  title={Approach affects injectate spread in ultrasound-guided thoracic paravertebral block: a cadaveric trial.},
  author={Yasuko Taketa and Taro Fujitani},
  journal={British journal of anaesthesia},
  year={2017},
  volume={119 2},
  pages={
          339-340
        }
}
1. Soffin E, YaDeau J. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence. Br J Anaesth 2016; 117 Suppl 3: iii62–72 2. Scott NB, McDonald D, Campbell J, et al. The use of enhanced recovery after surgery (ERAS) principles in Scottish orthopaedic units—an implementation and follow-up at 1 year, 2010–2011: a report from the Musculoskeletal Audit, Scotland. Arch Orthop Trauma Surg 2013; 133: 117–24 3. National Institute for Health and Care Excellence… 
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7 Citations

7 Citations

Citation Type

Citation Type

Thoracic paravertebral block: comparison of different approaches and techniques. A study on 27 human cadavers.
Ultrasound-Guided Thoracic Paravertebral Block as a Sympathetic Blockade for Upper Extremity Neuropathic Pain: A Prospective Pilot Study
TLDR
US-TPVB could be a useful technique for sympathetic blockade in patients with upper extremity pain and report a reduction in pain according to the score on the 11-point numerical rating scale.
The pathway of injectate spread during thoracic intertransverse process (ITP) block: Micro-computed tomography findings and anatomical evaluations.
Distribution of injectate administered through a catheter inserted by three different approaches to ultrasound-guided thoracic paravertebral block: a prospective observational study
TLDR
Although a bolus injection through a catheter for ultrasound-guided TPVB produced multiple levels of spread and sensory blockade in more than half the patients, considerable differences existed in the spread regardless of approach.
Observation and measurement of applied anatomical features for thoracic intervertebral foramen puncture on computed tomography images
TLDR
It is necessary to identify the spatial impact of the rib head/neck on the puncture path of the intervertebral foramina and design appropriate puncture angles for different segments.
Comparison of analgesic efficacy between two approaches of paravertebral block for thoracotomy: A randomised trial
TLDR
This prospective randomised trial was conducted to examine whether the type of approach for ultrasound‐guided thoracic paravertebral block could affect analgesic quality in thoracotomy.
Programmed intermittent bolus infusion versus continuous infusion of 0.2% levobupivacaine after ultrasound-guided thoracic paravertebral block for video-assisted thoracoscopic surgery: A randomised controlled trial
TLDR
The findings suggest that postoperative pain and opioid usage are similar with either programmed intermittent bolus infusion or continuous infusion after thoracic paravertebral block and could benefit patients requiring a wider extent of anaesthesia.

References

SHOWING 1-9 OF 9 REFERENCES
Ultrasound-guided thoracic paravertebral block by the paralaminar in-plane approach using a microconvex array transducer: methodological utility based on anatomical structures
TLDR
This technique allowed for inner catheter insertion route targeting longer anteroposterior thoracic paravertebral space length; this may reduce potential risk of pleural puncture for USG-TPVB.
Different Approaches to Ultrasound-guided Thoracic Paravertebral Block: An Illustrated Review
TLDR
This review article strives to provide comprehensive information on thoracic paravertebral space anatomy, tailored to the needs of a regional anesthesia practitioner, to interpret ultrasound images of the thoracian space using cross-sectional anatomical images that are matched in location and plane, and to briefly describe and discuss different ultrasound-guided approaches to thoraci paraverTEbral blockade.
Thoracic paravertebral spread using two different ultrasound‐guided intercostal injection techniques in human cadavers
TLDR
In this study, the paravertebral spread of a colored dye was attempted with two different ultrasound‐guided techniques, and ultrasound‐guided injection into the intercostal space may offer an alternative approach to the thoracic paraverstebral space.
A cadaver study comparing spread of dye and nerve involvement after three different quadratus lumborum blocks.
TLDR
Consistent spread to lumbar nerve roots was achieved using the transmuscular approach through the quadratus lumborum, after conducting blocks using ultrasound guidance in soft embalmed cadavers.
Physical properties and functional alignment of soft-embalmed Thiel human cadaver when used as a simulator for ultrasound-guided regional anaesthesia.
TLDR
The soft-embalmed Thiel cadaver is a highly durable simulator that has excellent physical and functional properties that allow repeated injection for intensive ultrasound-guided regional anaesthesia training.
A Novel Paralaminar In-Plane Approach for Ultrasound-Guided Continuous Thoracic Paravertebral Block Using Microconvex Array Transducer
TLDR
After the skin was disinfected, an 8to 5-MHz microconvex probe was placed on the patient, vertically against the skin surface, in a transverse position to the vertebral column and silhouetted the lamina arcus vertebrae andPP.
3D Anatomy Project in Okayama. Okayama, Okayama: 3D Anatomy project
  • in Okayama University,
  • 2016
Ultrasound-guided intercostal approach to thoracic paravertebral block.
Variability of a thoracic paravertebral block. Are we ignoring the endothoracic fascia?