Thoracic and lumbar paravertebral blocks for outpatient lithotripsy.
Paravertebral nerve block has been used for a variety of surgical procedures to provide unilateral anesthesia and postoperative analgesia. We report the successful application of this regional anesthesia modality for outpatient lithotripsy. Preoperatively, thoracic and lumbar paravertebral nerve blocks with 0.5% ropivacaine were placed with ultrasound and nerve stimulator guidance for two patients with ureteral calculi. One patient scheduled for cystoscopy and ureteroscopy with laser lithotripsy received general anesthesia intraoperatively. The second patient underwent extracorporeal shock wave lithotripsy with propofol intravenous sedation. Postoperatively, both patients reported pain scores of zero (Visual Analog Scale) for 24 hours and required no opioid rescue analgesia.
Jamieson
Brian D
BD
Department of Anesthesia, University of California at San Diego School of Medicine, San Diego, CA 92103-8770, USA. brian@2thejamiesons.com
Mariano
Edward R
ER
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000577:Amides / Q000008:administration & dosage / Q000627:therapeutic use; D000768:Anesthesia, General / Q000379:methods; D018686:Anesthetics, Intravenous / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D003558:Cystoscopy / Q000379:methods; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D008159:Lumbar Vertebrae / Q000294:innervation; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement / Q000379:methods; D010149:Postoperative Pain / Q000517:prevention & control; D015742:Propofol / Q000627:therapeutic use; D000077212:Ropivacaine; D013904:Thoracic Vertebrae / Q000294:innervation; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000628:therapy; D018666:Ureteroscopy / Q000379:methods
D000577:Amides; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D000077212:Ropivacaine; D015742:Propofol