title: Insertion of paravertebral block catheters intraoperatively to reduce incidence of block failure.
abstract: Paravertebral block catheters are a recognized method of regional pain control after a thoractomy. We describe a technique of insertion with the belief that it provides a superior positioning of the paravertebral (extra-pleural) catheter resulting in a better distribution of the local anaesthetic and better pain control.
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK. hany.elsayed@papworth.nhs.uk
authors.forename: Hany
authors.initials: H
authors.lastname: Elsayed
mesh_terms: D000005:Abdomen / Q000294:innervation*; D015746:Abdominal Pain / Q000209:etiology / Q000517:prevention & control*; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000009:adverse effects; D057785:Catheters; D004867:Equipment Design; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D013908:Thoracotomy / Q000009:adverse effects*; D017211:Treatment Failure
chemical_list: D000779:Anesthetics, Local