Thoracic rhizotomy versus thoracic paravertebral nerve radiofrequency in thoracic cancer pain

Thoracic paravertebral nerve block.

Thoracic paravertebral block.

THORACIC paravertebral block (TPVB) is the technique of injecting local anesthetic adjacent to the thoracic vertebra close to where the spinal nerves emerge from the intervertebral foramina. This results in ipsilateral somatic and sympathetic nerve blockade in multiple contiguous thoracic dermatomes above and below the site of injection. It is effective in treating acute and chronic pain of uni...

Thoracic paravertebral blockade.

Thoracic paravertebral blockade is a simple and easy-to-learn technique with a low incidence of complications. It should be considered as a safe alternative to thoracic epidural analgesia/anaesthesia. We reviewed the techniques of thoracic paravertebral blockade with special interest to ultrasound guidance.

Thoracic Paravertebral Block Versus Intrapleural Analgesia Following Cancer Breast Surgery

Background: The aim of this study was to evaluate the effeciveness of postoperative analgesia of thoracic paravertebral nerve block in comparison to intrapleural analgesia after cancer breast surgery. Methods: The study was carried out on thirty patients subjected to cancer breast surgery . General anesthesia was fixed for all patients as follow: peroxygenation by 100% oxygen for at least 3 min...

Thoracic Epidural and Paravertebral Analgesia

Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...