Paravertebral blockade. Failure rate and complications

The failure rate and complications were studied prospectively in 367 paediatric and adult patients who had received a thoracic or lumbar paravertebral block. The overall failure rate was 10.1%; adults 10.7%; children 6.2%. The frequency of complications were: hypotension: 4.6%; vascular puncture: 3....

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Bibliographic Details
Published inAnaesthesia Vol. 50; no. 9; p. 813
Main Authors Lönnqvist, P A, MacKenzie, J, Soni, A K, Conacher, I D
Format Journal Article
LanguageEnglish
Published England 01.09.1995
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Autonomic Nerve Block - adverse effects
Blood Vessels - injuries
Child
Child, Preschool
Female
Humans
Hypotension - etiology
Infant
Male
Middle Aged
Pleura - injuries
Pneumothorax - etiology
Prospective Studies
Surgical Procedures, Operative
Treatment Failure
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Summary:The failure rate and complications were studied prospectively in 367 paediatric and adult patients who had received a thoracic or lumbar paravertebral block. The overall failure rate was 10.1%; adults 10.7%; children 6.2%. The frequency of complications were: hypotension: 4.6%; vascular puncture: 3.8%; pleural puncture: 1.1%; pneumothorax: 0.5%. Since these results are similar to those found with alternative methods, e.g. epidural, intrapleural and intercostal blocks, paravertebral block can be recommended as an effective, safe technique for unilateral analgesia in both adults and children.
ISSN:0003-2409
DOI:10.1111/j.1365-2044.1995.tb06148.x