Ultrasound-guided paravertebral block using an intercostal approach

Alon Ben-Ari, Milena Moreno, Jacques E. Chelly, Paul E. Bigeleisen

Research output: Contribution to journalArticle

54 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1691-1694
Number of pages4
JournalAnesthesia and Analgesia
Volume109
Issue number5
DOIs
StatePublished - Nov 1 2009
Externally publishedYes

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ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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