A case series of thoracic paravertebral blocks using a combination of ropivacaine, clonidine, epinephrine, and dexamethasone

Journal of Clinical Anesthesia

Volumn 24, Issue 8, 2012, Pages 664-667

  Goravanchi, Farzin ^a   Kee, Spencer S ^a   Kowalski, Alicia M ^a   Berger, Joel S ^a   French, Katy E ^a  

^a UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

Author keywords

Breast carcinoma; Clonidine; Dexamethasone; Epinephrine; Pain management, postoperative; Regional anesthesia; Ropivacaine; Thoracic paravertebral block

Indexed keywords

ADRENALIN; CLONIDINE; DEXAMETHASONE; HYDROCODONE; PARACETAMOL; ROPIVACAINE;

ADULT; ANAMNESIS; ARTICLE; BREAST CANCER; CLINICAL ARTICLE; FEMALE; HUMAN; MASTECTOMY; PATIENT SATISFACTION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE NAUSEA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; THORACIC PARAVERTEBRAL BLOCK; TREATMENT DURATION; VERTEBRA;

AMIDES; ANALGESICS; ANESTHETICS, COMBINED; ANESTHETICS, LOCAL; BREAST NEOPLASMS; CLONIDINE; DEXAMETHASONE; EPINEPHRINE; FEMALE; FOLLOW-UP STUDIES; HUMANS; MIDDLE AGED; NERVE BLOCK; PATIENT SATISFACTION; THORACIC VERTEBRAE; TIME FACTORS;

EID: 84870889802     PISSN: 09528180     EISSN: 18734529     Source Type: Journal    
DOI: 10.1016/j.jclinane.2012.05.005     Document Type: Article

References (13)

1. J.C. Boughey, F. Goravanchi, and R.N. Parris Improved postoperative pain control using thoracic paravertebral block for breast operations Breast J 15 2009 483 488
2. J.F. Moller, L. Nikolajsen, S.A. Rodt, H. Ronning, and P.S. Carlsson Thoracic paravertebral block for breast cancer surgery: a randomized double-blind study Anesth Analg 105 2007 1848 1851
3. F. Goravanchi, and R. Parris Paravertebral block as an anesthetic technique in patients undergoing breast cancer surgery H.M. Kuerer, Kuerer's Breast Surgical Oncology 1st ed. 2010 McGraw-Hill Co New York 579 601
4. S. Bhatnagar, S. Mishra, S. Madhurima, M. Gurjar, and A.S. Mondal Clonidine as an analgesic adjuvant to continuous paravertebral bupivacaine for post-thoracotomy pain Anaesth Intensive Care 34 2006 586 591
5. A. Movafegh, M. Razazian, F. Hajimaohamadi, and A. Meysamie Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade Anesth Analg 102 2006 263 267
6. P.A. Vieira, I. Pulai, G.C. Tsao, P. Manikantan, B. Keller, and N.R. Connelly Dexamethasone with bupivacaine increases duration of analgesia in ultrasound-guided interscalene brachial plexus blockade Eur J Anaesthesiol 27 2010 285 288
7. G.P. Joshi, F. Bonnet, and R. Shah A systematic review of randomized trials evaluating regional techniques for postthoracotomy analgesia Anesth Analg 107 2008 1026 1040
8. A. Schnabel, S.U. Reichl, P. Kranke, E.M. Pogatzki-Zahn, and P.K. Zahn Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials Br J Anaesth 105 2010 842 852
9. C.C. Buckenmaier 3rd, K.H. Kwon, and R.S. Howard Double-blinded, placebo-controlled, prospective randomized trial evaluating the efficacy of paravertebral block with and without continuous paravertebral block analgesia in outpatient breast cancer surgery Pain Med 11 2010 790 799
10. H.T. Benzon, T.L. Chew, R.J. McCarthy, H.A. Benzon, and D.R. Walega Comparison of the particle sizes of different steroids and the effect of dilution: a review of the relative neurotoxicities of the steroids Anesthesiology 106 2007 331 338
11. R. Derby, S.H. Lee, E.S. Date, J.H. Lee, and C.H. Lee Size and aggregation of corticosteroids used for epidural injections Pain Med 9 2008 227 234
12. Z. Bigat, N. Boztug, N. Hadimioglu, N. Cete, N. Coskunfirat, and E. Ertok Does dexamethasone improve the quality of intravenous regional anesthesia and analgesia? A randomized, controlled clinical study Anesth Analg 102 2006 605 609
13. C.L. Burlacu, H.P. Frizelle, D.C. Moriarty, and D.J. Buggy Fentanyl and clonidine as adjunctive analgesics with levobupivacaine in paravertebral analgesia for breast surgery Anaesthesia 61 2006 932 937