title: Paravertebral Analgesia in Video-Assisted Thoracic Surgery: A New Hybrid Technique of Catheter Placement for Continuous Anesthetic Infusion.
abstract: Advantages of paravertebral analgesia in thoracotomy include the absence of morphine side effects and the lack of contraindications. We introduce a new technique for paravertebral catheter placement during video-assisted thoracic surgery. The catheter is placed in the same intercostal space as the camera port. Anesthetic is injected to reach the parietal pleura. The catheter is inserted through the needle and pushed until the paravertebral space is reached. Postoperative analgesia is performed by a continuous infusion of local anesthetics. Our technique is safe and easy to perform and avoids opioid use. It works differently from intercostal analgesia and paravertebral blocks.
authors.affiliation: Thoracic Surgery Unit, A.O. San Paolo, Università degli Studi di Milano, Milano, Italy.
authors.forename: Ugo
authors.initials: U
authors.lastname: Cioffi
authors.affiliation: Thoracic Surgery Unit, A.O. San Paolo, Università degli Studi di Milano, Milano, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Raveglia
authors.affiliation: Thoracic Surgery Unit, A.O. San Paolo, Università degli Studi di Milano, Milano, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Rizzi
authors.affiliation: Anesthesiology Unit, A.O. San Paolo, Università degli Studi di Milano, Milano, Italy.
authors.forename: Piero
authors.initials: P
authors.lastname: Di Mauro
authors.affiliation: Thoracic Surgery Unit, A.O. San Paolo, Università degli Studi di Milano, Milano, Italy.
authors.forename: Matilde
authors.initials: M
authors.lastname: De Simone
authors.affiliation: Thoracic Surgery Unit, A.O. San Paolo, Università degli Studi di Milano, Milano, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Baisi
mesh_terms: D000698:Analgesia / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002404:Catheterization / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D010147:Pain Measurement / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*; D011013:Pneumonectomy / Q000379:methods; D013127:Spinal Nerves; D020775:Thoracic Surgery, Video-Assisted; D013904:Thoracic Vertebrae
chemical_list: D000779:Anesthetics, Local