Different Approaches to Ultrasound-guided Thoracic Paravertebral Block An Illustrated Review

Annelot C. Krediet*, Nizar Moayeri, Geert-Jan van Geffen, Joergen Bruhn, Steven Renes, Paul E. Bigeleisen, Gerbrand J. Groen

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

128 Citations (Scopus)

Abstract

Given the fast development and increasing clinical relevance of ultrasound guidance for thoracic paravertebral blockade, this review article strives (1) to provide comprehensive information on thoracic paravertebral space anatomy, tailored to the needs of a regional anesthesia practitioner, (2) to interpret ultrasound images of the thoracic paravertebral space using cross-sectional anatomical images that are matched in location and plane, and (3) to briefly describe and discuss different ultrasound-guided approaches to thoracic paravertebral blockade. To illustrate the pertinent anatomy, high-resolution photographs of anatomical cross-sections are used. By using voxel anatomy, it is possible to visualize the needle pathway of different approaches in the same human specimen. This offers a unique presentation of this complex anatomical region and is inherently more realistic than anatomical drawings.

Original languageEnglish
Pages (from-to)459-474
Number of pages16
JournalAnesthesiology
Volume123
Issue number2
DOIs
Publication statusPublished - Aug-2015

Keywords

  • HUMAN CADAVERS
  • INTERCOSTAL ARTERY
  • ENDOTHORACIC FASCIA
  • NERVE STIMULATOR
  • BREAST SURGERY
  • CATHETERS
  • SPACE
  • CT
  • PNEUMOTHORAX
  • PLACEMENT

Cite this