Toracic paravertebral block in pediatric oncologic surgery


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Abstract

The choice of anesthetic modality for thoracic surgeries is due to effective analgesia, neurovisceral protection, early awakening and activation while minimizing side effects and complications of anesthesia itself. Thoracic epidural analgesia (EA) is considered to be a method of choice for pediatric thoracic surgeries. To reduce the risk of complications associated with EA authors consider less invasive methods of regional anesthesia, particularly, paravertebral block (PVB). Application of ultrasound guidance during regional anesthesia can reduce the rate of complications and increase efficiency by visualization of anatomic structures, needle and the spread of local anesthetic in real time.

About the authors

Nune V. Matinyan

FSBI “N.N. Blokhin Russian Cancer Research Center” of RAMS

Email: n9031990633@yandex.ru
Pediatric Oncology and Hematology Research Institute 115478, Moscow

E. I Belousova

FSBI “N.N. Blokhin Russian Cancer Research Center” of RAMS

Pediatric Oncology and Hematology Research Institute 115478, Moscow

A. I Saltanov

FSBI “N.N. Blokhin Russian Cancer Research Center” of RAMS

Pediatric Oncology and Hematology Research Institute 115478, Moscow

P. A Kerimov

FSBI “N.N. Blokhin Russian Cancer Research Center” of RAMS

Pediatric Oncology and Hematology Research Institute 115478, Moscow

References

  1. Rodriguez M.A., Lugo-Vicente H. Pulmonary metastasectomy for children with malignant tumors. Bol Asoc Med PR. 2012; 104 (3) : 35-40.
  2. Warmann S.W., Nourkami N. et al. Primary lung metastases in pediatric malignant non-Wilms renal tumors: data from SIOP 93-01/GPOH and SIOP 2001/GPOH. Klin Padiatr. 2012; 224(3): 148-152.
  3. Давыдов М.И., Полоцкий Б.Е. Рак легкого. М.: Радикс; 1994.
  4. Овечкин А.М. История нейроаксиальной анестезии в России. В кн.: Овечкин А.М., Горобец Е.С., Шифман Е.М., ред. Избранные лекции по регионарной анестезии и лечению послеоперационной боли. Петрозаводск: ИнтелТек. 2009; 9-22.
  5. Woolf C.J., Chong M.S. Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg. 1993; 77: 362-279.
  6. Helms O., Mariano J. et al. Intraoperative paravertebral block for postoperative analgesia in thoracotomy patients: a randomized, double-blind, placebo-controlled study. Eur J Cardiothorac Surg. 2011; 40(4): 902-906.
  7. Lonnqvist P.A., Hesser U. Location of the paravertebral spacein children and adolescent in relation to surface anatomy assessed by computed tomography. Paediatr Anaesth. 1992; 2: 285-289.
  8. Saito T., Den S., Tanuma K., Tanuma Y., Carney E., Carlsson C. Anatomical bases for paravertebral anesthetic block: Fluid communication between the thoracic and lumbar paravertebral regions. Surg Radiol Anat. 1999; 21: 359-363.
  9. De Bessa P.R., da Costa V.V., Arci E.C., Fernandes Mdo C., Saraiva R.A. Thoracic epidural block performed safely in anesthetized patients. A study of a series of cases. Rev Bras Anestesiol. 2008; 58(4): 354-362.
  10. Albokrinov А.А., Andrew A., Fesenko U.A., Ulbolgan A. Spread of dye after single thoracolumbar paravertebral injection in infants: A cadaveric study. EJA. 2014; 31.
  11. Cowie B., McGlade D., Ivanusic J. et al. US-Guided thoracic paravertebral blockade. Cadaveric study. Anesth. Analg. 2010; 110: 1735-1739.
  12. Renes S.H., Bruhn J., Gielen M.J. et al. In-plane ultrasound-guided thoracic paravertebral block: a preliminary report of 36 cases with radiologic confirmation of catheterposition. Reg Anesth Pain Med. 2010; 35: 212-216.
  13. Luyet G., Herrmann S. et al. Ultrasound-guided thoracic paravertebral puncture and placement of catheters in human cadavers: where do catheters go? Br. J. Anaesth. 2011; 106(2): 246-254.
  14. The European Anaesthesiology Congress "Euroanaesthesia - 2012”. Paris, June 9-12, 2012. Paris; 2012
  15. Bondar A., Szucs S., Iohom G. Thoracic paravertebral blockade. Medical Ultrasonography. 2010; 12(3): 223-227.
  16. Scarci M., Joshi A., Attia R. In patients undergoing thoracic surgery is paravertebral block as effective as epidural analgesia for pain management? Interact Cardiovasc Thorac Surg. 2010; 10(1): 92-96.
  17. Cheung S.L., Booker P.D., Franks R., Pozzi M. Serum concentrations of bupivacaine during prolonged continuous paravertebral infusion in young infants. Br J Anaesth. 1997; 79(1): 9-13.
  18. Shah R., Sabanathan S., Richardson J., Mearns A., Bembridge J. Continuous paravertebral block for post thoracotomy analgesia in children. J Cardiovasc Surg. 1997; 38(5): 543-546.
  19. Белоусова Е.И., Матинян Н.В., Салтанов А.И. Роль проводниковой анальгезии в детской онкохирургии при торакальных оперативных вмешательствах. Онкопедиатрия. 2014; 2: 22-26.

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