TY - CHAP M1 - Book, Section TI - Chapter 52. Paravertebral Block as an Anesthetic Technique in Patients Undergoing Breast Cancer Surgery A1 - Goravanchi, Farzin A1 - Parris, Ronald A2 - Kuerer, Henry M. Y1 - 2010 N1 - T2 - Kuerer's Breast Surgical Oncology AB - It has been well documented that a paravertebral block (PVB) reduces the stress response in patients with breast cancer, and PVB has been used in various surgical procedures and for the management of chronic pain.1 PVB is a form of regional anesthesia and was first performed by Hugo Sellheim of Leipzig, Germany in 1905 as a replacement for spinal anesthesia.2 The literature describes PVB being used in the thoracic and lumbar regions in a unilateral and bilateral fashion. PVB may be used for multiple surgical procedures, including, but not limited to, thoracotomy, laparoscopic or open cholecystectomy, colectomy, gastrectomy, abdominal and inguinal hernia repairs, appendectomy, transurethral prostatectomy, hip replacement, and total knee replacement.3 At The University of Texas MD Anderson Cancer Center, we primarily use PVB for breast cancer–related surgeries, including mastectomies, axillary dissections, and breast reconstruction. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=6413701 ER -