Cox Felicia, Cousins Angela
Pain Management Service, Royal Brompton & Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield UB9 6JH.
J Perioper Pract. 2008 Nov;18(11):491-6. doi: 10.1177/175045890801801104.
Paravertebral blockade is a safe and effective technique for intraoperative and postoperative management of acute surgical pain. The block may be performed as a single injection or a catheter may be inserted to allow for the continuous or bolus administration of a long acting local anaesthetic. This mode of analgesia is not considered to be a stand alone technique (in contrast to epidural analgesia) and most patients will require additional analgesia (usually parenteral patient controlled analgesia). Compared to epidural analgesia, the paravertebral administration of analgesia is considered to be safer in anti-coagulated patients, but the risk of local anaesthetic toxicity remains. There is little published about the care of patients receiving this form of analgesia. This article provides an overview of the technique of thoracic paravertebral analgesia, the choice of analgesics and side effects together with recommendations for patient care.
椎旁阻滞是一种用于急性外科手术疼痛术中及术后管理的安全有效的技术。该阻滞可单次注射进行，也可插入导管以便持续或大剂量给予长效局部麻醉药。这种镇痛方式不被认为是一种独立技术（与硬膜外镇痛相反），大多数患者需要额外的镇痛措施（通常是静脉自控镇痛）。与硬膜外镇痛相比，椎旁给予镇痛药物在抗凝患者中被认为更安全，但局部麻醉药毒性风险依然存在。关于接受这种镇痛方式患者的护理方面的文献报道很少。本文概述了胸段椎旁镇痛技术、镇痛药的选择和副作用，以及患者护理建议。
