Byhahn Christian, Meininger Dirk
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie der Johann-Wolfgang- Goethe-Universität Frankfurt am Main.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Jul;44(7-8):530-42. doi: 10.1055/s-0029-1237108. Epub 2009 Jul 23.
Thoracic paravertebral block for postoperative pain control has been introduced more than a century ago. It is currently gaining increasing popularity. This simple and safe technique can be used for postoperative analgesia, as well as sole anesthetic technique. When compared to epidural analgesia for postthoracotomy pain control, thoracic paravertebral analgesia provides comparable analgesic efficacy, but less side-effects. Regarding concomitant use of anticoagulants and antiplatelet drugs, paravertebral blockade is considered a central nerve block.
胸椎旁阻滞用于术后疼痛控制早在一个多世纪前就已被引入。目前它越来越受欢迎。这种简单且安全的技术可用于术后镇痛，也可作为单独的麻醉技术。与用于开胸术后疼痛控制的硬膜外镇痛相比，胸椎旁镇痛具有相当的镇痛效果，但副作用更少。关于抗凝剂和抗血小板药物的联合使用，椎旁阻滞被视为一种中枢神经阻滞。
