Ultrasound Guidance Is Helpful for Paravertebral Block Performance and Catheter Placement in Patients with Laminectomy after Thoracotomy or Lumbotomy: A Case Series Imaging Study
Ultrasound Guidance Is Helpful for Paravertebral Block Performance and Catheter Placement in Patients with Laminectomy after Thoracotomy or Lumbotomy: A Case Series Imaging Study作者机构：Department of Anesthesiology and Intensive Care Clinic Orthopaedy and Traumatology Neurosurgery & ENT CUB Erasmus Hospital Free University of Brussels Brussels Belgium Department of Anesthesiology and Intensive Care CUB Erasmus Hospital Free University of Brussels Brussels Belgium Department of Neurosurgery CUB Erasmus Hospital Free University of Brussels Brussels Belgium
出 版 物：《Open Journal of Anesthesiology》 (麻醉学期刊（英文）)
年 卷 期：2013年第3卷第2期
页 面：67-73页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Block Catheter Guidance Laminectomy Lumbotomy Paravertebral Thoracotomy Ultrasound
摘 要：Today, the ultrasound guidance (USG) in regional anesthesia is gold standard more and more often used for medial or paramedian approaches around to the spine, such as the paravertebral (PV) block. Local anatomical changes may greatly handicap the performance of this type of block. We present clinical, sonographic, and radiological data on successful PV block and catheter placement in four patients with vertebral diseases, targeting thoracotomy or lumbotomy postoperative pain after stabilization of the involved vertebral body and preliminary arthrodesis with laminectomy by the posterior approach. We emphasize the importance of USG in this special context involving local anatomical disturbance.
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