Ultrasound-guided paravertebral block using an intercostal approach.
Anesth Analg
; 109(5): 1691-4, 2009 Nov.
Article
em En
| MEDLINE
| ID: mdl-19843811
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Costelas
/
Músculos Intercostais
/
Ultrassonografia de Intervenção
/
Anestésicos Combinados
/
Anestésicos Locais
/
Bloqueio Nervoso
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Humans
/
Middle aged
Idioma:
En
Revista:
Anesth Analg
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos