49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

Surgical Paravertebral Blocks Combined with Low Dose Spinal to Avoid General Anesthesia in a Patient with Acute on Chronic Respiratory Failure: A Case Report

Introduction

•Paravertebral block is the technique of injecting local anesthetic lateral to the vertebral body adjacent to the site where the spinal nerves exit the intervertebral foramina.1

•This space contains dorsal and ventral rami and the sympathetic chain- nfiltration results in unilateral sensory, motor, and sympathetic blockade in contiguous dermatomes above and below the site of injection.2

•Thoracic paravertebral blocks are commonly performed to provide analgesia for surgeries involving the breast and axilla and have also been used to relieve acute chest wall pain from rib fractures, herpes zoster, and postthoracotomy pain.2

•There has been increased interest in the use of paravertebral blocks as a primary anesthetic

•We report a patient with tenuous respiratory status who received paravertebral anesthesia combined with a low dose spinal for axillary and chest skin grafts

49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

SURGICAL PARAVERTEBRAL BLOCKS COMBINED WITH LOW DOSE SPINAL IN A PATIENT WITH ACUTE ON CHRONIC RESPIRATORY FAILURE: A CASE REPORT

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