Ultrasound-Guided Thoracic Paravertebral Block



Thoracic paravertebral block (TPVB) is the technique of injecting local anesthetic alongside the thoracic vertebral body close to where the spinal nerves emerge from the intervertebral foramen. This produces unilateral (ipsilateral), segmental, somatic, and sympathetic nerve blockade in multiple contiguous thoracic dermatomes, which is effective for managing acute and chronic pain of unilateral origin from the thorax and abdomen. Recently, TPVB has also been used for surgical anesthesia in patients undergoing inguinal herniorrhaphy and breast surgery, with improved postoperative outcomes.


Transverse Process Needle Insertion Ultrasound Beam Parietal Pleura Intervertebral Foramen 



All figures in this article have been reproduced with permission from http://www.aic.cuhk.edu.hk/usgraweb.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Anaesthesia and Intensive CareThe Chinese University of Hong Kong, Prince of Wales HospitalShatinHong Kong

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