Application of a conventional paravertebral block on the thorax with a novel intrathoracic approach during the intraoperative period: Two case reports: Paravertebral block with an intrathoracic approach

Ergun  Mendes; Tolga  Semerkant; Oya Yalcin  Cok

doi:10.28982/josam.1109449

Authors

Ergun Mendes Department of Anesthesiology and Reanimation, Kilis State Hospital, Kilis, Turkey https://orcid.org/0000-0003-4350-6055
Tolga Semerkant Department of Thoracic Surgery, Kilis State Hospital, Kilis, Turkey https://orcid.org/0000-0002-5428-3742
Oya Yalcin Cok Department of Anesthesiology and Pain Medicine, Baskent University, School of Medicine, Adana Research and Education Centre, Adana, Turkey https://orcid.org/0000-0003-3004-2626

DOI:

https://doi.org/10.28982/josam.1109449

Keywords:

paravertebral space, intrathoracic approach, major thoracic trauma, superior costo-transverse ligament

Abstract

Pain management significantly reduces mortality by aiding in the effective elimination of secretions after thoracic surgery. We present two cases requiring emergency surgical intervention due to major trauma. Both patients were provided pain control with an intrathoracic approach of the paravertebral block performed by a sterile-clothed anesthetist with a single-shot 20 ml injection of 0.25% bupivacaine from the inner surface to the superior costo-transverse ligament (SCTL). After extubation, the measured VAS score was no higher than 3–4, and the patients could breathe and cough comfortably. The intrathoracic approach may be an effective method to implement for postoperative acute pain.

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References

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