RT Book, Section
A1 Goravanchi, Farzin
A1 Parris, Ronald
A2 Kuerer, Henry M.
SR Print(0)
ID 6413701
T1 Chapter 52. Paravertebral Block as an Anesthetic Technique in Patients Undergoing Breast Cancer Surgery
T2 Kuerer's Breast Surgical Oncology
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-160178-8
LK accesssurgery.mhmedical.com/content.aspx?aid=6413701
RD 2023/09/23
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.