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| Research article summary (published 30 Oct 2009): |
Ultrasound-guided paravertebral block using an intercostal approach.
Full 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.
Author information
Author/s: Ben-Ari, Alon (A); Moreno, Milena (M); Chelly, Jacques E (JE); Bigeleisen, Paul E (PE);
Affiliation: Department of Anesthesiology, University of PittsburghMedical Center, Pittsburgh, Pennsylvania, USA.
Journal and publication information
Publication Type: Journal Article
Journal: Anesthesia and analgesia (Anesth Analg), published in United States. (Language: eng)
Reference: 2009-Nov; vol 109 (issue 5) : pp 1691-4
Dates: Created 2009/10/21; Completed 2009/11/05;
PMID: 19843811, status: MEDLINE (last retrieval date: 11/5/2009, IMS Date: )
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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