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Ultrasound-Guided Thoracic Paravertebral Block

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Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

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Abstract

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 [1, 2], which is effective for managing acute and chronic pain of unilateral origin from the thorax and abdomen [3]. Recently, TPVB has also been used for surgical anesthesia in patients undergoing inguinal herniorrhaphy [4] and breast surgery [5, 6] with improved postoperative outcomes [3].

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Acknowledgment

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

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Authors and Affiliations

  1. Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong

    Manoj Kumar Karmakar

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  1. Manoj Kumar Karmakar
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Correspondence to Manoj Kumar Karmakar .

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Editors and Affiliations

  1. Professor of Anesthesiology and Pain Medicine, Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, Ohio, USA

    Samer N. Narouze

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Karmakar, M.K. (2018). Ultrasound-Guided Thoracic Paravertebral Block. In: Narouze, S. (eds) Atlas of Ultrasound-Guided Procedures in Interventional Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7754-3_9

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  • DOI: https://doi.org/10.1007/978-1-4939-7754-3_9

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-7752-9

  • Online ISBN: 978-1-4939-7754-3

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