Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade.

Abstract:

:The factors responsible for the spreading pattern of a single paravertebral injection are still uncertain. In this study, 28 patients were randomly assigned to receive a paravertebral injection of radio-opaque dye (10 ml, with or without co-administration of 20 ml of local anaesthetics) either dorsal or ventral to the endothoracic fascia. The point of injection was determined by use of a nerve-stimulator and the radiographic distribution pattern was assessed blindly by a radiologist. Injections made in the more ventral part of the thoracic paravertebral space, supposedly anterior to the endothoracic fascia, resulted in a multisegmental longitudinal spreading pattern, whereas injections made dorsal to the endothoracic fascia resulted in a less predictable cloud-like spreading pattern, with only limited distribution over adjacent segments. The use of a nerve stimulator-guided technique appears to enhance the likelihood of achieving the more desirable longitudinal spreading pattern.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Naja MZ,Ziade MF,El Rajab M,El Tayara K,Lönnqvist PA

doi

10.1111/j.1365-2044.2004.03705.x

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

459-63

issue

5

eissn

0003-2409

issn

1365-2044

pii

ANA3705

journal_volume

59

pub_type

临床试验,杂志文章,随机对照试验
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