Department of Anaesthesiology, Intensive Care and Palliative Care, Università degli Studi, Milan, Italy.
Anaesthesia. 2010 Dec;65(12):1221-4. doi: 10.1111/j.1365-2044.2010.06420.x.
Thoracic paravertebral blockade has been described as an effective alternative to epidural blockade for the management of postoperative pain after thoracic surgery. Here we present what we believe is the first description of the use of thoracic paravertebral block as the sole anaesthetic for video-assisted thoracoscopy. Two oncology patients with severe respiratory disease presented for video-assisted thoracoscopic surgery. Thoracic paravertebral block provided excellent surgical conditions and postoperative pain relief for these patients and allowed an optimal assessment of the anaesthetic impact on respiratory function.
胸椎旁神经阻滞已被描述为一种替代硬膜外阻滞的有效方法，可用于治疗胸外科手术后的疼痛。在此，我们首次描述了将胸椎旁神经阻滞作为单纯麻醉用于电视辅助胸腔镜手术。两名患有严重呼吸系统疾病的肿瘤患者接受了电视辅助胸腔镜手术。胸椎旁神经阻滞为这些患者提供了极佳的手术条件和术后疼痛缓解，并能够最佳地评估麻醉对呼吸功能的影响。
