A prospective, randomized comparison of ultrasonographic visualization of proximal intercostal block vs paravertebral block.

ABSTRACT:

Background

Thoracic paravertebral blockade is an accepted anesthetic and analgesic technique for breast surgery. However, real-time ultrasound visualization of landmarks in the paravertebral space remains challenging. We aimed to compare ultrasound-image quality, performance times, and clinical outcomes between the traditional parasagittal ultrasound-guided paravertebral block and a modified approach, the ultrasound-guided proximal intercostal block.

Methods

Women with breast cancer undergoing mastectomy (n = 20) were randomized to receive either paravertebral (n = 26) or proximal intercostal blocks (n = 32) under ultrasound-guidance with 2.5 mg/kg ropivacaine prior to surgery. Block ultrasound images before and after needle placement, and anesthetic injection videoclips wer

SUBMITTER: Vlassakov K 

PROVIDER: S-EPMC6953256 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature