A 61-year-old man with multiple unilateral rib fractures (T3–T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 hours after the block. The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter placement. This report also discusses the management of analgesia using continuous paravertebral block in an outpatient with trauma.
Published ahead of print December 7, 2012 Supplemental Digital Content is available in the text.
From the *Department of Anesthesiology, Columbia University, St Luke’s Roosevelt Hospital, New York, New York; and ‡Department of Anesthesiology, Catholic University of Leuven, Leuven, Belgium.
Accepted for publication July 25, 2012.
Published ahead of print December 7, 2012
HM is currently with the Department of Anesthesiology, Nagasaki University, Nagasaki, Japan.
The authors declare no conflicts of interest.
Reprints will not be available from the authors.
Address correspondence to Admir Hadzic, MD, PhD, Department of Anesthesiology, Columbia University, St Luke’s Roosevelt Hospital, 1111 Amsterdam Avenue, New York, NY 10025. Address e-mail to firstname.lastname@example.org.