Paravertebral blockade
Tóm tắt
The failure rate and complications were studied prospectively in 367 paediatric and adult patients who had received a thoracic or lumbar paravertebral block. The overall failure rate was 10.1%; adults 10.7%; children 6.2%. The frequency of complications were: hypotension: 4.6%; vascular puncture: 3.8%; pleural puncture: 1.1%; pneumothorax: 0.5%. Since these results are similar to those found with alternative methods, e.g. epidural, intrapleural and intercostal blocks, paravertebral block can be recommended as an effective, safe technique for unilateral analgesia in both adults and children.
Từ khóa
Tài liệu tham khảo
Kirvelä O, 1992, Thoracic paravertebral block in chronic postoperative pain, Regional Anesthesia, 17, 348
Munoz HR, 1993, Direction of catheter insertion and incidence of paresthesia and failure rate in continuous epidural anesthesia: A comparison of cephalad and caudad catheter insertion, Regional Anesthesia, 18, 331
Wood CE, 1992, Complications of epidural analgesia for pain relief in children, Canadian Journal of Anaesthesia, 39, A99
Littlewood DG., 1987, Principles and practice of regional anaesthesia, 132
Dalens BJ., 1990, Pediatric Regional Anesthesia, 453