Key result
Thoracic or lumbar paravertebral block demonstrated an overall failure rate of 10.1% and low complication rates, including 0.5% for pneumothorax, supporting its use for unilateral analgesia.
Why the study?
Does thoracic or lumbar paravertebral block provide safe and effective unilateral analgesia in pediatric and adult patients?
Cohort (n=367)
Does thoracic or lumbar paravertebral block provide safe and effective unilateral analgesia in pediatric and adult patients?
Paravertebral block is a safe and effective technique for unilateral analgesia in both adults and children, with acceptable failure and complication rates.
Answers are grounded in this paper and cite their sources.
May support paravertebral block consideration for unilateral analgesia; Level 3 cohort data leaves open need for RCTs.
The failure rate and complications were studied prospectively in 367 paediatric and adult patients who had received a thoracic or lumbar paravertebral block. The overall failure rate was 10.1%; adults 10.7%; children 6.2%. The frequency of complications were: hypotension: 4.6%; vascular puncture: 3.8%; pleural puncture: 1.1%; pneumothorax: 0.5%. Since these results are similar to those found with alternative methods, e.g. epidural, intrapleural and intercostal blocks, paravertebral block can be recommended as an effective, safe technique for unilateral analgesia in both adults and children.
No takes yet. Share an insight, caveat, or question.
Lönnqvist et al. (1995) conducted a cohort in Patients requiring unilateral analgesia (n=367). Thoracic or lumbar paravertebral block was evaluated on Failure rate. Thoracic or lumbar paravertebral block demonstrated an overall failure rate of 10.1% and low complication rates, including 0.5% for pneumothorax, supporting its use for unilateral analgesia.
Synapse has enriched 10 related papers. Consider them for comparative context: