Involuntary developing of epidural block during thoracic paravertebral blockade Clinical case description


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Abstract

Clinical case of unintentional developing of epidural block while performing continuous paraverteblral analgesia after thoracotomy is described and discussed.

About the authors

O. V. Makarov

City Clinical Hospital named after S. P Botkin

Department of anesthesiology and emergency medicine, Russian Medical Academy of Postgraduate Education Moscow

C. A. Osipov

City Clinical Hospital named after S. P Botkin

Department of anesthesiology and emergency medicine, Russian Medical Academy of Postgraduate Education Moscow

V. I. Makovey

City Clinical Hospital named after S. P Botkin

Department of anesthesiology and emergency medicine, Russian Medical Academy of Postgraduate Education Moscow

N. N. Bulatov

City Clinical Hospital named after S. P Botkin

Department of anesthesiology and emergency medicine, Russian Medical Academy of Postgraduate Education Moscow

S. V. Goncharov

City Clinical Hospital named after S. P Botkin

Department of anesthesiology and emergency medicine, Russian Medical Academy of Postgraduate Education Moscow

S. A. Ulyanov

City Clinical Hospital named after S. P Botkin

Department of anesthesiology and emergency medicine, Russian Medical Academy of Postgraduate Education Moscow

References

  1. Daly David J., Myles Paul S. Update on the role of paravertebral blocks for thoracic surgery: are they worth it? Curr. Opin. Anaesthesiol. 2009; 22 (1): 38-43.
  2. Calenda E., Baste J. M., Danielou E., Michelin P Temporary quadriplegia following continuous thoracic paravertebral block. Clin. Anesth. 2012; (3): 227-230.
  3. Kotemane N. C. Analgesic techniques following thoracic surgery: a survey of United Kingdom practice. Eur. J. Anaesthesiol. 2010; 27 (10): 897-899.
  4. Lucas S. D., Higdon T., Boezaart A. P. Unintended epidural placement of a thoracic paravertebral catheter in a patient with severe chest trauma. Pain Med. 2011; 12 (8): 1284-1289.
  5. Luyet C., Herrmann G., Ross S., Vogt A., et all. Ultrasound-guided thoracic paravertebral puncture and placement of catheters in human cadavers: where do catheters go. Br. J. Anaesth. 2011; 106 (2): 246-254.
  6. Norum H. M., Breivik H.A. systematic review of comparative studies indicates that paravertebral block is neither superior nor safer than epidural analgesia for pain after thoracotomy. Scand. J. Pain 2010; 1: 12-23.
  7. Norum H. M., Breivik H. A. Thoracic paravertebral blockade and thoracic epidural analgesia: two extremes of a continuum. Anesth. Analg. 2011; 112 (4): 990.
  8. Norum H. M., Breivik H. A. Learning from the past for the present: paravertebral blocks for thoracic surgery are not without risk. Eur. J. Anaesthesiol. 2011; 28 (7): 544-545.
  9. Powell E. S., Cook D., Pearce A. C., Davies P. et all. A prospective, multicentre, observational cohort study of analgesia and outcome after pneumonectomy. Br. J. Anaesth. 2011; 106 (3): 364-370.
  10. Rawal N. Epidural technique for postoperative pain: gold standard no more? Reg. Anesth. Pain Med. 2012; 37 (3): 310-317.
  11. Shelley B., Macfie A., Kinsella J. Anesthesia for thoracic surgery: a survey of UK practice. J. Cardiothorac. Vasc. Anesth. 2011; 25 (6): 1014-1017.

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