Thoracic Paravertebral Block for Video-Assisted Thoracoscopic Surgery: Single Injection Versus Multiple Injections

2012 ◽  
Vol 26 (1) ◽  
pp. 90-94 ◽  
Author(s):  
Fatma Nur Kaya ◽  
Gurkan Turker ◽  
Elif Basagan Mogol ◽  
Selcan Bayraktar
Keyword(s):  
Single Injection ◽  
Thoracoscopic Surgery ◽  
Paravertebral Block ◽  
Thoracic Paravertebral Block ◽  
Multiple Injections ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Effects of Thoracic Paravertebral Block on Nociceptive Levels After Skin Incision During Video-Assisted Thoracoscopic Surgery

2019 ◽  
Vol 25 ◽  
pp. 3140-3145 ◽  
Author(s):  
Hiroki Miyawaki ◽  
Hiroki Ogata ◽  
Shiroh Nakamoto ◽  
Takahiko Kaneko ◽  
Ryusuke Ueki ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Skin Incision ◽  
Paravertebral Block ◽  
Thoracic Paravertebral Block ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Thoracic Paravertebral Block with Adjuvant Dexmedetomidine in Video-Assisted Thoracoscopic Surgery: A Randomized, Double-Blind Study

2019 ◽  
Vol 8 (3) ◽  
pp. 352 ◽  
Author(s):  
Boohwi Hong ◽  
ChaeSeong Lim ◽  
Hyemin Kang ◽  
Hongsik Eom ◽  
Yeojung Kim ◽  
...  
Keyword(s):  
Rating Scale ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Paravertebral Block ◽  
P Value ◽  
Double Blind Study ◽  
Thoracic Paravertebral Block ◽  
Video Assisted ◽  
Fentanyl Consumption ◽  
Video Assisted Thoracoscopic Surgery

Background: The addition of the adjuvant dexmedetomidine to a nerve block improves the quality of the block and reduces perioperative opioid consumption. The aim of this study was to assess the effect of dexmedetomidine as an adjuvant for the thoracic paravertebral block (TPVB) in postoperative pain control after video-assisted thoracoscopic surgery (VATS). Methods: Sixty-six males, aged 15–40 years, with spontaneous pneumothorax scheduled for VATS wedge resection were enrolled. Following surgery, ultrasound-guided TPVB was performed on the T3 and T5 levels with 30 mL of 0.5% ropivacaine, plus adjuvant dexmedetomidine 50 μg or normal saline. The primary outcome was cumulative fentanyl consumption at 24 h. Pain severity, the requirement for additional rescue analgesics, hemodynamic variations, and side effects were also evaluated. Results: Median postoperative cumulative fentanyl consumption at 24 h was significantly lower in the dexmedetomidine group (122.6 (interquartile range (IQR) 94.5–268.0) μg vs. 348.1 (IQR, 192.8–459.2) μg, p-value = 0.001) with a Hodges–Lehman median difference between groups of 86.2 (95% confidence interval (CI), 4.2–156.4) mg. Coughing numeric rating scale (NRS) was lower in the dexmedetomidine group at postoperative 2, 4, 8, and 24 h. However, resting NRS differed significantly only after 4 h postoperative. Conclusions: Dexmedetomidine as an adjunct in TPVB provided effective pain relief and significantly reduced opioid requirement in VATS.

scholarly journals Out of plane approach to erector spinae plane block

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Poonam Darswal ◽  
Divesh Arora
Keyword(s):  
Clinical Practice ◽  
Thoracoscopic Surgery ◽  
Erector Spinae ◽  
Effective Alternative ◽  
Thoracic Paravertebral Block ◽  
Video Assisted ◽  
Erector Spinae Plane Block ◽  
Out Of Plane ◽  
Analgesic Technique ◽  
Video Assisted Thoracoscopic Surgery

We were interested in applying the appealingly safer yet equally effective alternative suggested to thoracic paravertebral block – the erector spinae plane (ESP) block by Forereo1 to our clinical practice. ESP block is being used as an effective analgesic technique in abdominal and thoracic procedures like video-assisted thoracoscopic surgery (VATS) and bariatric surgeries.2,3 It is a very safe and effective analgesic technique with minimal potential for major complications. ESP block proved to be effective for analgesia in breast surgeries as well. 

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