(9.) Moller JF, Nikolajsen L, Rodt SA, Ronning H, Carlsson PS.Thoracic paravertebral block
for breast cancer surgery: A randomized double-blind study.
Kairaluoma et al  followed up 60 patients of paravertebral block
upto 1 yr after breast surgery and found that the incidence of neuropathic pain was low (two and three patients in the PVB and control groups, respectively).
Because steroids block the transmission of impulse in nociceptive C fibres (5,6), we were interested in determining whether dexamethasone might prolong the duration of analgesia when administered for paravertebral block
along with local anaesthetic agents.
Somatic paravertebral block
decreases opioid requirements in children undergoing appendectomy.
for open cholecystectomy in patients with cardiopulmonary pathology.
Thavaneswaran P et al 2006 Paravertebral blocks
for anaesthesia and analgesia: a systematic review.
She reported on 41 patients undergoing breast-conserving therapy--lumpectomy with axillary lymph node dissection--who were randomized to paravertebral block
administered intraoperatively or to general anesthesia.
Zahn, "Efficacy and safety of paravertebral blocks
in breast surgery: a meta-analysis of randomized controlled trials," British Journal of Anaesthesia, vol.
Thus we conclude that paravertebral block
is as good as epidural block for pain relief post operatively.
To the best of our knowledge, most published ultrasound-guided paravertebral block
techniques have used visualisation of the transverse process as the 'gold standard' for identifying the paravertebral space.
A thoracic paravertebral block
(TPVB) is simple and easier to perform, and it produces a multidermatomal ipsilateral somatic and sympathetic nerve blockade in contiguous thoracic dermatomes.
Hepatic PRFA has been performed under various conditions, such as general anesthesia, intravenous anesthesia, epidural anesthesia, and thoracic paravertebral block
[5-7]; however, it is usually performed under local anesthesia with intravenous sedation .